Provider Demographics
NPI:1376671610
Name:LINDA J. MILLER-DOWIE, INC.
Entity Type:Organization
Organization Name:LINDA J. MILLER-DOWIE, INC.
Other - Org Name:AAFT ATLANTIC ASSOCIATES FOR THERAPY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:LINDA
Authorized Official - Middle Name:JUSTINE
Authorized Official - Last Name:MILLER-DOWIE
Authorized Official - Suffix:
Authorized Official - Credentials:MSW, LCSW, CEAP
Authorized Official - Phone:904-246-5001
Mailing Address - Street 1:572 MAGNOLIA ST
Mailing Address - Street 2:
Mailing Address - City:NEPTUNE BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:32266-3732
Mailing Address - Country:US
Mailing Address - Phone:904-246-7196
Mailing Address - Fax:904-246-5152
Practice Address - Street 1:2320 3RD ST S
Practice Address - Street 2:SUITE 3
Practice Address - City:JACKSONVILLE BEACH
Practice Address - State:FL
Practice Address - Zip Code:32250-4058
Practice Address - Country:US
Practice Address - Phone:904-246-5001
Practice Address - Fax:904-246-5152
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-28
Last Update Date:2009-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSW00030111041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLZ4919AMedicare ID - Type UnspecifiedMEDICARE