Mary Ellen Miller, Ms, Lpc, LLC

NPI #1518762756 in Portage, Wisconsin

Provider Information

NPI Number: 1518762756
Entity Type: Organization
Organization Name: Mary Ellen Miller, Ms, Lpc, LLC
Primary Specialty: Clinic/Center - Mental Health (Including Community Mental Health Center)
Enumeration Date: Feb 13, 2025
Last Updated: Feb 13, 2025

Practice Location

Address: W10445 STATE ROAD 16 LOT 21
City: Portage
State: Wisconsin
ZIP Code: 53901-9488
Phone: (608) 617-8419

Authorized Official

Name: MS. MARY ELLEN ELLEN MILLER MS MILLER, LPC
Title: DIRECTOR
Phone: (608) 617-8419

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Mental Health (Including Community Mental Health Center) — Mental Health (Including Community Mental Health Center)	261QM0801X	Primary

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