| David Miller, LPC | |
|
809 S Patton Rd, Great Bend, KS 67530-4620 | |
| (949) 813-3213 | |
| Not Available |
| Full Name | David Miller |
|---|---|
| Gender | Male |
| Speciality | Counselor - Professional |
| Location | 809 S Patton Rd, Great Bend, Kansas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548982945 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 04593 (Kansas) | Primary |
| Entity Name | Avenues For Change |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1114630076 PECOS PAC ID: 3577003466 Enrollment ID: O20240905004630 |
| Mailing Address | Practice Location Address |
|---|---|
| David Miller, LPC 13615 Lansing Ave, Glenpool, OK 74033-3769 Ph: (949) 813-3213 | David Miller, LPC 809 S Patton Rd, Great Bend, KS 67530-4620 Ph: (949) 813-3213 |
Charity Ann Muth, LCAC/LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1916 16th St, Great Bend, KS 67530 Phone: 620-792-5405 | |
Ashley Kathryn Davis, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1406 Harding St, Great Bend, KS 67530 Phone: 316-429-8678 | |
Mrs. Carol Louise Dellinger, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 245 Ne 30 Rd, Great Bend, KS 67530 Phone: 620-792-9295 Fax: 620-792-3238 | |
Sherry K Pruter, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 155 Se 1 Ave, Great Bend, KS 67530 Phone: 620-786-7105 | |
Drew Andrew Hosman Sr., LCPC Counselor Medicare: Medicare Enrolled Practice Location: 1105 Main St Ste D, Great Bend, KS 67530 Phone: 620-282-7755 | |
Courtney Craig, Counselor Medicare: Not Enrolled in Medicare Practice Location: 5815 Broadway Ave, Great Bend, KS 67530 Phone: 620-792-2544 Fax: 620-792-7052 | |
Alisha Bell-markley, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1819 11th St, Great Bend, KS 67530 Phone: 620-603-6257 Fax: 620-603-6259 |