Individual provider · Type 1 NPI

Mauricelm-Lei Millere I, PSYCHIATRY CLINICIAN

Substance Use Disorder Rehabilitation Clinic/Center · West Helena, AR

NPI number 1922754118 Active

Practice location

112 Garland Ave
West Helena, AR 72390-2440

Specialties and licenses

TaxonomyCodeLicense
Substance Use Disorder Rehabilitation Clinic/Center Primary 261QR0405X261QR0405X (AR)
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X261QR0405X (NC)

Substance Use Disorder Rehabilitation Clinic/Center: Definition to come...

Another provider at this address

About NPI 1922754118

Mauricelm-Lei Millere I, PSYCHIATRY CLINICIAN's National Provider Identifier is 1922754118, issued on Feb 25, 2022. The primary taxonomy on file is Substance Use Disorder Rehabilitation Clinic/Center (261QR0405X), and the practice location is in West Helena, AR. The record was last updated on Feb 25, 2022.