IndividualActive
Mauricelm-Lei Millere, PSYCHIATRY CLINICIAN
NPI 1922754118 · Substance Use Disorder Rehabilitation Clinic/Center · West Helena, AR
Provider details
- NPI number
- 1922754118
- Entity type
- Individual
- Primary specialty
- Substance Use Disorder Rehabilitation Clinic/CenterAmbulatory Health Care Facilities
- Credential
- PSYCHIATRY CLINICIAN
- Sex
- Male
- Sole proprietor
- Yes
- License
- 261QR0405X (AR)
Specialties & taxonomies
Ambulatory Health Care Facilities
- Mental Health Clinic/Center (Including Community Mental Health Center)261QM0801XLicense 261QR0405X (NC)
Ambulatory Health Care Facilities
Practice location
112 Garland Ave
West Helena, AR 72390-2440
Phone: (270) 801-3436
Approximate (ZIP-level) locationGet directions
Mailing address
112 Garland Ave
West Helena, AR 72390-2440
Registry dates
- Enumerated
- 2022-02-25
- Last updated
- 2022-02-25
- Certified
- 2022-02-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.