TIMOTHY MILLER (NPI# 1609238096) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1609238096 |
Entity Type | Individual |
Full Name | TIMOTHY MILLER |
Practice Address |
215 Bres Ave Ste G Monroe LA 71201-5869 |
Practice Telephone | 3185098073 |
Mailing Telephone | 3185098073 |
Enumeration Date | 2016-03-24 |
Last Update Date | 2016-03-24 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 322D00000X | Residential Treatment Facility, Emotionally Disturbed Children | 8864631 | LA | Residential Treatment Facilities |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1528694643 | Timothy Michael Miller | Psychiatry & Neurology | 1441 Phale D. Hale Dr., Columbus, OH 43203 | 2020-03-20 |
1144872912 | Timothy Paul Miller | Specialist/Technologist | 5431 S Dorchester Ave Apt 1, Chicago, IL 60615-5370 | 2019-07-11 |
1710497052 | Timothy Paul Miller | Psychologist | 4163 Hamilton Ave Ste B, Cincinnati, OH 45223 | 2017-09-30 |
1346655453 | Timothy Reid Miller | Dentist | 27081 185th Ave Se Ste 105, Covington, WA 98042-8448 | 2014-06-26 |
1073882189 | Timothy James Miller | Family Medicine | 274 E. Chicago St, Coldwater, MI 49036 | 2011-12-19 |
1114206166 | Timothy P Miller | Physical Therapy Assistant | 1010 S. 336th St #10, Federal Way, WA 98003 | 2011-08-09 |
1326275082 | Timothy W Miller | Family Medicine | 1000 Greg Kruschek Highway, Norton Sound Health Corp., Nome, AK 99762 | 2009-06-19 |
1306018874 | Timothy E. Miller | Optometrist | 2700 N Narragansett Ave, Chicago, IL 60639-1083 | 2008-03-25 |
1750595906 | Timothy John Miller | Dentist | 485 South Dr Ste B, Mountain View, CA 94040-4208 | 2007-05-09 |
1972543213 | Timothy William Miller | Physical Therapist | 5848 Old Bethlehem Pike Suite 102, St Lukes Physical Therapy, Center Valley, PA 18034-9484 | 2006-06-07 |
Street Address |
215 BRES AVE STE G |
City | MONROE |
State | LA |
Zip Code | 71201-5869 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1619349628 | Wilbur Varner Sr. | Counselor | 215 Bres Ave Ste G, Monroe, LA 71201-5869 | 2015-10-29 |
1689220618 | Lakeita Miller | Case Manager/Care Coordinator | 215 Bres Ave Ste G, Monroe, LA 71201-5869 | 2019-08-15 |
1700339363 | Koren Washington-coleman | Case Manager/Care Coordinator | 215 Bres Ave Ste G, Monroe, LA 71201-5869 | 2016-08-01 |
1083066583 | Lequitsha Shanklin | Case Manager/Care Coordinator | 215 Bres Ave Ste G, Monroe, LA 71201-5869 | 2016-07-07 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1043831035 | Tammy Price | Social Worker | 414 Pine Street, Monroe, LA 71201 | 2020-04-30 |
1932749116 | Emmanuel Brown Jr. | Case Manager/Care Coordinator | 2808 Evangeline Street, Monroe, LA 71201 | 2020-01-15 |
1063050961 | James J Gregory | Social Worker | 4800 S Grand, Monroe, LA 71201 | 2019-12-11 |
1285271221 | William Fairley | Non-emergency Medical Transport (VAN) | 1002 N. 7th St., Apt. 4, Monroe, LA 71201 | 2019-12-10 |
1619431715 | Guidance Medical Transportation LLC | Non-emergency Medical Transport (VAN) | 1204 Stubbs Ave. Suite B, Monroe, LA 71201 | 2019-01-23 |
1184193286 | Marnesha Davis | Assistant Behavior Analyst | 500 N. 21st Street, Monroe, LA 71201 | 2018-11-19 |
1912476482 | Gbc Hope | Residential Treatment Facility, Emotionally Disturbed Children | 311 South 1st Street, Monroe, LA 71201 | 2018-11-14 |
1124502505 | Orthopaedic Clinic of Monroe | Non-Pharmacy Dispensing Site | 1501 Louisville Ave., Monroe, LA 71201 | 2018-09-20 |
1699266643 | Melissa Anne De La O | Audiologist | 2516 Broadmoor Blvd # 1b, Monroe, LA 71201 | 2018-05-25 |
1588153738 | Essential Family Medicine, LLC | Nurse Practitioner | 2014 Tower Dr. Ste A, Monroe, LA 71201 | 2018-05-03 |
Find all providers in zip 71201 |
Taxonomy Code | 322D00000X |
Grouping | Residential Treatment Facilities |
Classification | Residential Treatment Facility, Emotionally Disturbed Children |
A provider facility or distinct part of the organization which renders an interdisciplinary program of mental health treatment to individuals under 21 years of age who have persistent dysfunction in major life areas. The dysfunction is of an extent and pervasiveness that requires a protected and highly structured therapeutic environment. These organizations, or distinct part of organizations, exclude those that provide acute psychiatric care, partial hospitalization, group living, therapeutic schooling, primary diagnosis substance abuse disorder treatment, or primary diagnosis mental retardation or developmental disability treatment. |
Notes: Source: U.S. Department of Defense Regulation 6010.8-R, Chapter 6. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1912476482 | Gbc Hope | Residential Treatment Facility, Emotionally Disturbed Children | 311 South 1st Street, Monroe, LA 71201 | 2018-11-14 |
1528564184 | House of Judah International, Inc | Residential Treatment Facility, Emotionally Disturbed Children | 4104 Spurgeon Dr, Monroe, LA 71203-4415 | 2018-04-03 |
1184938193 | Family Homecare Services Inc | Residential Treatment Facility, Emotionally Disturbed Children | 100 Serenity Hills, Monroe, NC 28110 | 2010-08-02 |
1932342235 | The Sanctuary House, Inc | Residential Treatment Facility, Emotionally Disturbed Children | 500 John Deere Rd Nw, Monroe, GA 30656-4769 | 2009-04-16 |
1619157153 | North Carolina Children's Place, Inc | Residential Treatment Facility, Emotionally Disturbed Children | 504 Sunnybrook Dr, Monroe, NC 28110-2719 | 2007-11-13 |
1811022718 | Fresh Start Youth Services, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 2110 Griffith Rd, Monroe, NC 28112-8833 | 2007-02-22 |
1386728749 | Storm Ridge Ranch | Residential Treatment Facility, Emotionally Disturbed Children | 95 W 3000 N, Monroe, UT 84754-3270 | 2006-10-24 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1912516188 | Serene Living LLC | Residential Treatment Facility, Emotionally Disturbed Children | 4032 Erato St, New Orleans, LA 70125-1918 | 2020-07-23 |
1306481445 | Upgrade Group Home LLC | Residential Treatment Facility, Emotionally Disturbed Children | 3719 Katherine Ave, 3719 Katherine Ave, Baton Rouge, LA 70805 | 2019-11-13 |
1144862707 | Care Life Inc | Residential Treatment Facility, Emotionally Disturbed Children | 136 Barton Pl, Breaux Bridge, LA 70517-5130 | 2019-10-15 |
1104344258 | Hopeful Hearts Inc | Residential Treatment Facility, Emotionally Disturbed Children | 1104 W. Saint Peter Street, New Iberia, LA 70560-7056 | 2017-09-08 |
1073971297 | Core Agency Group | Residential Treatment Facility, Emotionally Disturbed Children | 865 Williams Colony Rd, Downsville, LA 71234-5905 | 2016-02-02 |
1891049714 | Lighthouse Ministries, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 180 Lighthouse Ln, Reeves, LA 70658-5941 | 2012-10-30 |
1447503016 | Raintree Services Inc | Residential Treatment Facility, Emotionally Disturbed Children | 1219 8th St, New Orleans, LA 70115-3332 | 2012-10-19 |
1124376165 | Louis Infant Crisis Center | Residential Treatment Facility, Emotionally Disturbed Children | 221 El Paso Dr, Houma, LA 70360-7309 | 2012-08-23 |
1811259476 | Louis Infant Crisis Center | Residential Treatment Facility, Emotionally Disturbed Children | 3511 Bayou Black Dr, Houma, LA 70360-2302 | 2012-06-11 |
1275893778 | The Agape House | Residential Treatment Facility, Emotionally Disturbed Children | 508 Morris St, Franklin, LA 70538-6605 | 2012-05-18 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.