Individual
DR. MAURICELM-LEI MILLERE I
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSYCHIATRY CLINICIAN
Contact information
Practice address
112 GARLAND AVE, WEST HELENA, AR 72390-2440
(270) 801-3436
Mailing address
112 GARLAND AVE, WEST HELENA, AR 72390-2440
(270) 801-3436
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
261QR0405X
NC
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
261QR0405X
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
201823400828
STATE OF OHIO CERTIFICATE / TRADE NAME REGISTRATION
OH
Enumeration date
02/25/2022
Last updated
02/25/2022
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