Provider Demographics
NPI:1801041520
Name:MILLER, GEORGETTE ELAINE (LMSW)
Entity Type:Individual
Prefix:MS
First Name:GEORGETTE
Middle Name:ELAINE
Last Name:MILLER
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:232 ENGLISH COUNSELING SERVICE
Mailing Address - Street 2:
Mailing Address - City:MANHATTAN
Mailing Address - State:KS
Mailing Address - Zip Code:66506-6502
Mailing Address - Country:US
Mailing Address - Phone:785-532-6927
Mailing Address - Fax:
Practice Address - Street 1:232 ENGLISH COUNSELING SERVICE
Practice Address - Street 2:
Practice Address - City:MANHATTAN
Practice Address - State:KS
Practice Address - Zip Code:66506-6502
Practice Address - Country:US
Practice Address - Phone:785-532-6927
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-11-21
Last Update Date:2008-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS6688104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker