LARISSA SHANTAA MILLER


Address: 1528 Five Points Rd Sw, Albuquerque, NM 87105-3179
Phone: 5052426919

LARISSA SHANTAA MILLER (NPI# 1750850517) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1750850517
Entity Type Individual
Full Name LARISSA SHANTAA MILLER
Credential LSAA
Practice Address 1528 Five Points Rd Sw
Albuquerque
NM 87105-3179
Mailing Address 12021 Skyline Rd Ne Apt 1603
Albuquerque
NM 87123-3081
Practice Telephone 5052426919
Mailing Telephone 5054502918
Enumeration Date 2018-11-21
Last Update Date 2018-11-21
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YA0400X Counselor
Specialization: Addiction (Substance Use Disorder)
Behavioral Health & Social Service Providers

Other Providers LARISSA MILLER

NPI Name Taxonomy Address Enumeration
1407453889 Larissa Catherine Miller Psychologist 2920 Alder St, Eugene, OR 97405-4146 2020-10-08
1356663827 Larissa Kaye Miller Physician Assistant 1507 Briar Cottage Ct, Sugar Land, TX 77479-6024 2010-02-24
1558787317 Larissa Miller Registered Nurse 2611 Liberty Hill Rd, Camden, SC 29020-1871 2014-03-17

Office Location

Street Address 1528 FIVE POINTS RD SW
City ALBUQUERQUE
State NM
Zip Code 87105-3179

Providers in the same location

NPI Name Taxonomy Address Enumeration
1104040088 Michael Wayne Giddings Counselor 1528 Five Points Rd Sw, Albuquerque, NM 87105-3014 2007-04-12
1881207496 Kevin Ryan Puckett I Psychologist 1528 Five Points Rd Sw, Albuquerque, NM 87105-3179 2020-08-25
1467061127 Kenneth M. Wanya Counselor 1528 Five Points Rd Sw, Albuquerque, NM 87105-3179 2020-07-29
1710445994 Natalie Nicotine Social Worker 1528 Five Points Rd Sw, Albuquerque, NM 87105-3179 2019-03-07
1417458738 Richard Ibarra Social Worker 1528 Five Points Rd Sw, Albuquerque, NM 87105-3179 2018-02-22
1417458746 Alexandria N Padilla Social Worker 1528 Five Points Rd Sw, Albuquerque, NM 87105-3179 2018-02-22
1427559772 Theresa Ann Day Counselor 1528 Five Points Rd Sw, Albuquerque, NM 87105-3179 2018-02-22
1689175911 Michel Jean Mcqueen Social Worker 1528 Five Points Rd Sw, Albuquerque, NM 87105-3179 2018-02-22
1487015186 Dixie Bingham IIi Counselor 1528 Five Points Rd Sw, Albuquerque, NM 87105-3179 2016-03-09
1245690031 Christi Warner Counselor 1528 Five Points Rd Sw, Albuquerque, NM 87105-3179 2016-03-07
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1588278063 Jacob Hill Rehabilitation Practitioner 2001-b El Centro Familiar Blvd Se, Albuqerque, NM 87105 2020-09-02
1083264824 Kacie Rhodes Technician 515 Isleta Blvd Sw, Albuquerque, NM 87105 2019-09-13
1043870454 Equal LLC Assisted Living Facility 207 Lagunitas Lane, Albuquerque, NM 87105 2019-06-18
1043792997 Elizabeth Bennett Counselor 309 59th St Nw, Albuquerque, NM 87105 2018-09-06
1316439920 Deann Nieto Rehabilitation Practitioner 2001b El Centro Familiar Blvd Sw, Albuquerque, NM 87105 2018-05-31
1487163457 Karen Bejarano Behavior Technician 1847 Val Verde Rd Sw, Albuquerque, NM 87105 2017-09-21
1306360391 Bendiciones Home Health Care Home Health 5500 Cleo Rd. Sw, Albuquerque, NM 87105 2017-08-01
1578927711 Clarence Mills Counselor 1528 Five Points Rd Nw, Albuquerque, NM 87105 2016-04-13
1386024727 Rachel Elaine Kadetz Counselor 1101 Lopez Rd. Sw, Albuquerque, NM 87105 2015-06-01
1598160772 Sandra Jean Taylor Lactation Consultant, Non-RN 1305 Blake Rd Sw, Albuquerque, NM 87105 2014-10-30
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Taxonomy Information

Taxonomy Code 101YA0400X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Addiction (Substance Use Disorder)

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1699395368 Roadrunner Recovery Services LLC Counselor 505 13th St Sw Apt A, Albuquerque, NM 87102-2873 2020-04-22
1104465152 Laura Aubert Counselor 1108 Vassar Dr Se, Albuquerque, NM 87106-2959 2019-12-21
1245719665 Ashley Tapia Counselor 125 Candelaria Rd Nw, Albuquerque, NM 87107-2210 2018-08-07
1194226415 Aurora R Cata Counselor 1528 5 Pts Rd Sw, Albuquerque, NM 87105-3179 2018-02-22
1689198582 Margaret Ann Garberina Counselor 4031 Mackland Ave Ne, Albuquerque, NM 87110-7711 2017-08-01
1699229559 Louise Blazquez Counselor 8000 Roma Ave Ne, Albuquerque, NM 87108-2334 2016-08-09
1861848632 Recovery Services of New Mexico, LLC Counselor 1711 Isleta Blvd Sw, Albuquerque, NM 87105-4635 2016-05-10
1578927711 Clarence Mills Counselor 1528 Five Points Rd Nw, Albuquerque, NM 87105 2016-04-13
1285095257 Robert Barnes Counselor 8613 Democracy Rd Ne, Albuquerque, NM 87109-5181 2016-03-17
1366809089 Elizabeth Hawkins Counselor 7005 Avenida La Costa Ne, Albuquerque, NM 87109-3927 2016-01-26
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Competitor

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City ALBUQUERQUE
Zip Code 87105

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Dataset Information

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.

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