Provider Demographics
NPI:1659438521
Name:CARPEL-MILLER, VICKI (BSN, MS, LMFT)
Entity Type:Individual
Prefix:
First Name:VICKI
Middle Name:
Last Name:CARPEL-MILLER
Suffix:
Gender:F
Credentials:BSN, MS, LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8010 E MORGAN TRL
Mailing Address - Street 2:SUITE 1
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85258-1296
Mailing Address - Country:US
Mailing Address - Phone:480-991-4119
Mailing Address - Fax:480-991-4118
Practice Address - Street 1:8010 E MORGAN TRL
Practice Address - Street 2:SUITE 1
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85258-1296
Practice Address - Country:US
Practice Address - Phone:480-991-4119
Practice Address - Fax:480-991-4118
Is Sole Proprietor?:No
Enumeration Date:2007-01-02
Last Update Date:2010-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ0190106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist