Provider Demographics
NPI:1780400705
Name:MILLER, BRITTANY (PLPC)
Entity type:Individual
Prefix:
First Name:BRITTANY
Middle Name:
Last Name:MILLER
Suffix:
Gender:F
Credentials:PLPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:186 W STATE ROUTE 92 STE D
Mailing Address - Street 2:
Mailing Address - City:KEARNEY
Mailing Address - State:MO
Mailing Address - Zip Code:64060-7705
Mailing Address - Country:US
Mailing Address - Phone:816-635-0275
Mailing Address - Fax:
Practice Address - Street 1:186 STATE RTE 92
Practice Address - Street 2:STE D
Practice Address - City:KEARNEY
Practice Address - State:MO
Practice Address - Zip Code:64060
Practice Address - Country:US
Practice Address - Phone:816-635-0275
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-11-25
Last Update Date:2024-11-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2024044459101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health