MR. LAWRENCE ELRIC MILLER QMHA
NPI 1366280547
Counselor - Mental Health in Medford, OR
Active since July 19, 2024
About Mr. Lawrence Elric Miller Qmha NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. LAWRENCE ELRIC MILLER QMHA (NPI 1366280547) is an individual mental health provider in Medford, Oregon and active in the NPI registry since July 2024.
NPPES Registry Identity
NPI1366280547
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameMR. LAWRENCE ELRIC MILLERCredential: QMHA
Location Address200 BEATTY STMedford, OR 97501-5811
Mailing Address1215 Sw G StGrants Pass, OR 97526-2544 · (541) 476-2373
Phone(541) 476-2373
Sole ProprietorNo
Enumeration DateJuly 19, 2024
NPPES CertifiedJuly 19, 2024
✔ NPI 1366280547 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
200 BEATTY ST, Medford, OR 97501
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1366280547, enumerated as an "individual" on July 19, 2024.
The provider is located at 200 BEATTY ST MEDFORD, OR 97501 and the phone number is (541) 476-2373.
Counselor with taxonomy code 101YM0800X and a focus in Mental Health.