Organization
LIFE TRANSITIONS COUNSELING CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHELLE RENEE MILLER PH.D. (PSYCHOLOGIST/OWNER)
(260) 434-1606
Entity
Organization
Contact information
Practice address
4630 W JEFFERSON BLVD, #11A, FORT WAYNE, IN 46804-6856
(260) 434-1606
(260) 434-1606
Mailing address
4630 W JEFFERSON BLVD, #11A, FORT WAYNE, IN 46804-6856
(260) 434-1606
(260) 434-1606
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
20042044A
IN
Other
Enumeration date
06/12/2016
Last updated
06/12/2016
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