Provider Demographics
NPI:1477243418
Name:ARCEO-THOMAS, MIAMI
Entity Type:Individual
Prefix:
First Name:MIAMI
Middle Name:
Last Name:ARCEO-THOMAS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2740 KINGMAN DR
Mailing Address - Street 2:
Mailing Address - City:XENIA
Mailing Address - State:OH
Mailing Address - Zip Code:45385-4269
Mailing Address - Country:US
Mailing Address - Phone:808-517-7812
Mailing Address - Fax:
Practice Address - Street 1:2740 KINGMAN DR
Practice Address - Street 2:
Practice Address - City:XENIA
Practice Address - State:OH
Practice Address - Zip Code:45385-4269
Practice Address - Country:US
Practice Address - Phone:808-517-7812
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-05-12
Last Update Date:2023-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker