Whalio Doctors

NPI 1003452749

Antoinette Miller

Practitioner Mental Illness Community Based Residential Treatment Facility Goodyear, AZ

Practice location

Address
15820 W Jefferson St, Goodyear, AZ 85338-6893
Phone
(480) 278-6343
Mailing address
6141 E Grant Rd Bldg a, Tucson, AZ 85712-5829

Registered specialties (2)

Mental Illness Community Based Residential Treatment Facility Primary
Residential Treatment Facilities Taxonomy 320800000X Licence 13650767 (AZ)
Respite Care
Respite Care Facility Taxonomy 385H00000X Licence 13650767 (AZ)

Registry record

NPI
1003452749
Entity type
Individual
Sex (as registered)
Female
NPI issued
18 Nov 2019
Record last updated
15 Jun 2026

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.