Miller, Vivian Lea

Miller, Vivian Lea is an sole proprietor health care provider with primary practice located at 705 Douglas St Suite 350, Sioux City IA 51101. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Miller, Vivian Lea can be contacted via phone (712) 255-5414.

Contact Information

Primary practice address
705 Douglas St Suite 350 Sioux City IA 51101
Phone: (712) 255-5414
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 00718 Iowa

Profile Details

NPI number 1891863668
LBN Legal business name Miller, Vivian Lea
Credentials LMHC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 1st, 2006
Last updated Nov 26th, 2007 - about 17 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1891863668 NPPES
Iowa Other 00718 LICENSE MENTAL HEALTH COU
Iowa Other 53096 LICENSE MENTAL HEALTH COU

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