Provider Demographics
NPI:1639761745
Name:JAMES-MILLER, FATIMA
Entity Type:Individual
Prefix:MRS
First Name:FATIMA
Middle Name:
Last Name:JAMES-MILLER
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 1:60 LINCOLN AVE
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11208-1508
Mailing Address - Country:US
Mailing Address - Phone:347-575-1990
Mailing Address - Fax:
Practice Address - Street 1:60 LINCOLN AVE
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11208-1508
Practice Address - Country:US
Practice Address - Phone:347-575-1990
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-02-09
Last Update Date:2021-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health