Miracle Anderson Gleaton
Individual provider Active NPI Case Manager/Care Coordinator · Simpsonville, SC
NPI 1487789996 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1487789996
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Case Manager/Care Coordinator 171M00000X
- Practice address
- 20 Powderhorn Rd
Simpsonville, SC 29681-3399 - Phone
- (864) 963-3421
- Fax
- (864) 962-0758
- NPI assigned
- Feb 23, 2007
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| South Carolina Dept of Mental Health Accounting Office | Past |
Accepting new patients | |
| South Carolina Dept of Mental Health Accounting Office | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | Yes |
Addresses
Primary practice location
20 Powderhorn Rd
Simpsonville, SC 29681-3399
Mailing address
20 Powderhorn Rd
Simpsonville, SC 29681-3399
Phone (864) 963-3421
Other providers in Simpsonville, SC
- Tara Beck Allen
- Telicia Hughes Allen
- Sasha Voncha Alls
- Nirali P Amin
- Jackelyn Nichols Andersen
- Broderick Anderson
- Erika Anderson
- Paul David Anderson Jr.
- Sarah Hanlin Anderson
- Sonja Michelle Anderson
All providers in Simpsonville, SC · Case Manager/Care Coordinator in South Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.