Provider Demographics
NPI:1508332248
Name:VMILLERK ENTERPRISES LLC
Entity Type:Organization
Organization Name:VMILLERK ENTERPRISES LLC
Other - Org Name:THRIVEWORKS COUNSELING AND COACHING
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:VICTORIA
Authorized Official - Middle Name:
Authorized Official - Last Name:MILLER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:315-412-6641
Mailing Address - Street 1:1705 PENNSYLVANIA AVE
Mailing Address - Street 2:
Mailing Address - City:MCDONOUGH
Mailing Address - State:GA
Mailing Address - Zip Code:30253-9118
Mailing Address - Country:US
Mailing Address - Phone:315-412-6641
Mailing Address - Fax:
Practice Address - Street 1:1705 PENNSYLVANIA AVE
Practice Address - Street 2:
Practice Address - City:MCDONOUGH
Practice Address - State:GA
Practice Address - Zip Code:30253-9118
Practice Address - Country:US
Practice Address - Phone:678-853-5849
Practice Address - Fax:678-666-3850
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-10-20
Last Update Date:2022-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Multi-Specialty