1407039472 NPI number — MRS. MEGHAN DANIELLE MILLIRON MS, LMHC, LMP

Table of content: MRS. MEGHAN DANIELLE MILLIRON MS, LMHC, LMP (NPI 1407039472)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1407039472 NPI number — MRS. MEGHAN DANIELLE MILLIRON MS, LMHC, LMP

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
MILLIRON
Provider First Name:
MEGHAN
Provider Middle Name:
DANIELLE
Provider Name Prefix Text:
MRS.
Provider Name Suffix Text:
Provider Credential Text:
MS, LMHC, LMP
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
MORSE
Provider Other First Name:
MEGHAN
Provider Other Middle Name:
DANIELLE
Provider Other Name Prefix Text:
MS.
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1407039472
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
02/27/2015
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1880 FISHER ST
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
DUPONT
Provider Business Mailing Address State Name:
WA
Provider Business Mailing Address Postal Code:
98327-9788
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
253-279-9409
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
5515 STEILACOOM BLVD SW
Provider Second Line Business Practice Location Address:
SUITE 124
Provider Business Practice Location Address City Name:
LAKEWOOD
Provider Business Practice Location Address State Name:
WA
Provider Business Practice Location Address Postal Code:
98499-3105
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
253-279-9409
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
12/12/2007

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 101YM0800X , with the licence number:  60160578 , registered in the state of WA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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