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Dr. Mauricelm-lei Millere I, PSYCHIATRYCLINICIAN
Mental Health Clinic/Center (Including Community Mental Health Center) in West Helena, Arkansas
NPI 1922754118

Mauricelm-lei Millere I is a Mental Health Clinic/Center (Including Community Mental Health Center) based in West Helena, AR and is specialized in Mental Health (Including Community Mental Health Center). Mauricelm-lei Millere I practices in West Helena, AR and has the professional credentials of PSYCHIATRYCLINICIAN. The NPI Number for Mauricelm-lei Millere I is 1922754118 and holds a License No. 261QR0405X (Arkansas).

The current practice location address for Mauricelm-lei Millere I is 112 Garland Ave, West Helena, AR and can be reached out via phone at 270-801-3436.

Location: 112 Garland Ave, West Helena, AR, 72390-2440
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Provider Profile Details
NPI Number
1922754118
Provider Name
Mauricelm-lei Millere I
Credential
PSYCHIATRYCLINICIAN
Provider Entity Type
Individual
Gender
Male
Address
112 Garland Ave, West Helena, AR, 72390-2440
Phone Number
270-801-3436
Fax Number
Provider Enumeration Date
02/25/2022
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
201823400828 01 OH STATE OF OHIO CERTIFICATE / TRADE NAME REGISTRATION
institution
Provider Business Practice Location Address Details
Address
112 Garland Ave
City
State
Zip
72390-2440
Phone Number
270-801-3436
Fax Number
person
Provider Business Mailing Address Details
Address
112 Garland Ave
City
State
Zip
72390-2440
Phone Number
270-801-3436
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Mental Health (Including Community Mental Health Center)
Taxonomy
License No.
261QR0405X (North Carolina)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Rehabilitation, Substance Use Disorder
Taxonomy
License No.
261QR0405X (Arkansas)
Definition
Definition to come...
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