Jennifer Miller | Greenacres, FL • PECOS Search

Jennifer Miller

Counselor

Behavioral Health & Social Service Providers

6801 Lake Worth Rd Ste 101, Greenacres, FL 33467-2965

PECOS Enrollment

Based on the most recent information from CMS, provider Jennifer Miller does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 3 days ago.

Profile Details

Provider ID
1407366248
Provider Type
Individual
Full Name
Miller, Jennifer
Credential
MA

Gender
Female
Sole Proprietor
Yes
Enumeration Date
10/6/2017
Last Updated
6/16/2018

Contact Information

Practice Location

6801 Lake Worth Rd Ste 101, Greenacres, FL 33467-2965

Unlisted Fax

Mailing Location

8854 Rodeo Dr, Lake Worth, FL 33467-1142

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 101YM0800X Primary	Description Counselor Behavioral Health & Social Service Providers	License IMH9520 Florida