ANTHONY (MIA) JOEL MIKELIC
NPI 1194218123
Counselor - Mental Health in Prineville, OR
Active since June 13, 2018
About Anthony (mia) Joel Mikelic NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ANTHONY (MIA) JOEL MIKELIC (NPI 1194218123) is an individual mental health provider in Prineville, Oregon and active in the NPI registry since June 2018.
NPPES Registry Identity
NPI1194218123
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameANTHONY (MIA) JOEL MIKELIC
Location Address1103 NE ELM STPrineville, OR 97754-1664
Mailing Address934 Ne Del Rio AvePrineville, OR 97754-1364 · (541) 362-6979
Phone(541) 323-5330
Fax(541) 447-1121
Sole ProprietorNo
Enumeration DateJune 13, 2018
✔ NPI 1194218123 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
1103 NE ELM ST, Prineville, OR 97754
Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1194218123, enumerated as an "individual" on June 13, 2018.
The provider is located at 1103 NE ELM ST PRINEVILLE, OR 97754 and the phone number is (541) 323-5330.
Counselor with taxonomy code 101YM0800X and a focus in Mental Health.