Provider Demographics
NPI:1417190745
Name:APN BEHAVIORAL HEALTHCARE
Entity Type:Organization
Organization Name:APN BEHAVIORAL HEALTHCARE
Other - Org Name:BARBARA MIGLICCO-MILLER
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:BARBARA
Authorized Official - Middle Name:J
Authorized Official - Last Name:MILLER
Authorized Official - Suffix:
Authorized Official - Credentials:APN
Authorized Official - Phone:972-937-5252
Mailing Address - Street 1:503 W MAIN ST
Mailing Address - Street 2:
Mailing Address - City:WAXAHACHIE
Mailing Address - State:TX
Mailing Address - Zip Code:75165-3235
Mailing Address - Country:US
Mailing Address - Phone:972-937-5252
Mailing Address - Fax:
Practice Address - Street 1:880 JOHNSON LN
Practice Address - Street 2:
Practice Address - City:OVILLA
Practice Address - State:TX
Practice Address - Zip Code:75154-1482
Practice Address - Country:US
Practice Address - Phone:972-937-5252
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-04-16
Last Update Date:2009-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX501274363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1457499253Medicaid