Miller, Beryl M
Miller, Beryl M is an sole proprietor health care provider with primary practice located at 3424 Table Rock Dr , Gastonia NC 28052-5436. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Miller, Beryl M can be contacted via phone (704) 517-4527.Contact Information
Primary practice address
3424 Table Rock Dr
Gastonia NC 28052-5436
Phone: (704) 517-4527
Fax: (704) 372-2309
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | C003740 | North Carolina |
Profile Details
| NPI number | 1154488948 |
|---|---|
| LBN Legal business name | Miller, Beryl M |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 2nd, 2007 |
| Last updated | Dec 7th, 2012 - about 12 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1154488948 | NPPES |
| North Carolina | Other | 139HN | NC HEALTH CHOICE |
| North Carolina | MEDICAID | 6002607 | NC HEALTH CHOICE |
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