Mary Elizabeth Miller, LMHC
Individual provider Active NPI Mental Health Counselor · Bonifay, FL
NPI 1982431573 · NPPES record last updated Sep 17, 2024
Key facts
- NPI
- 1982431573
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- License
- MH23812 (FL)
- Practice address
- 1110 N State St
Bonifay, FL 32425-1402 - Phone
- (850) 373-7315
- NPI assigned
- Sep 17, 2024
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MH23812 | FL | MD | Mental Health Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | MH23812 | FL | Yes |
Addresses
Primary practice location
1110 N State St
Bonifay, FL 32425-1402
Mailing address
1110 N State St
Bonifay, FL 32425-1402
Phone (850) 373-7315
Other providers in Bonifay, FL
- Gina C Martinelli
- Emery Shyanne Mayo
- Ruby J McKay
- Medical Gallery, LLC
- Medsouth Home Health L.L.C.
- Mohammad Yunus MD PA
- Mohammad Yunus MD PA
- Richard James Moore
- Hannah Moran
- MTM Specialist
All providers in Bonifay, FL · Mental Health Counselor in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 17, 2024. 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.