Miller, Carrie Rena
Miller, Carrie Rena is an sole proprietor health care provider with primary practice located at 9404 Buttonwood Ave , Moore OK 73160-9137. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Miller, Carrie Rena can be contacted via phone (405) 237-3780.Contact Information
Primary practice address
9404 Buttonwood Ave
Moore OK 73160-9137
Phone: (405) 237-3780
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | SW6214 | Florida |
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 6065 | Oklahoma |
Profile Details
| NPI number | 1922517374 |
|---|---|
| LBN Legal business name | Miller, Carrie Rena |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 28th, 2017 |
| Last updated | Jul 21st, 2022 - about 3 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 | 1922517374 | NPPES |
| Oklahoma | MEDICAID | 200775820A |
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