Bernadette Mullins Miller LLC
Clinic/Center, Mental Health (Including Community Mental Health Center) in Wauwatosa, WI. Organization (NPI-2).
NPI number1902021512
StatusActive
Last updated in NPPESJun 24, 2014
Details
- NPI
- 1902021512
- Entity type
- Organization (NPI-2)
- Legal business name
- Bernadette Mullins Miller LLC
- Organization subpart
- No
- Enumeration date
- Apr 17, 2007
- Last updated
- Jun 24, 2014
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QM0801X | Clinic/Center, Mental Health (Including Community Mental Health Center) | – | – | Yes |
Practice location
2600 N Mayfair Rd Ste 305Wauwatosa, WI 53226-1303
Phone 414-378-0999 · Fax 414-536-8605
Mailing address
2600 N Mayfair Rd Ste 305Wauwatosa, WI 53226-1303
Phone 414-378-0999 · Fax 414-536-8605
Authorized official
Bernadette Mullins-Miller
President
4143780999
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