Mini Miracles Pediatric Therapy, PLLC
Mini Miracles Pediatric Therapy, PLLC is a Developmentally Disabled Services Day Training Agency in Johnson City, Tennessee. Licensed in Virginia. Registered with an NPI since 2013.
- Licensed in
- VA
- In the registry since
- 2013
- Specialties on file
- 2
What do these letters mean?
- PLLC — Professional limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
2214 E Fairview AveJohnson City, TN 37601-2860
Phone: (423) 928-6464
Fax: (423) 232-7970
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Early Intervention Provider Agency (primary) | Taxonomy 252Y00000X · Licence 4611 (VA) |
|---|---|
| Developmentally Disabled Services Day Training Agency | Taxonomy 251C00000X · Licence 0119003962 (VA) |
Record details
| NPI number | 1477991560 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Douglas Brown — Ceo/Owner · (601) 624-1237 |
| NPI enumerated | June 11, 2013 |
| Last updated in NPPES | October 3, 2023 |
| Certification date | October 3, 2023 |
| Mailing address | Po Box 191, Johnson City, TN 37605-0191 |
Other providers in Johnson City
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Dawn of Hope, Inc
500 E Oakland Ave, Johnson City, TN 37601-3465 · (423) 434-5600
-
Envision Inc
4504 Bristol Hwy Ste 105, Johnson City, TN 37601-3571 · (423) 952-2211
-
Lighthouse Independent Living
2882 Boones Creek Rd, Johnson City, TN 37615-4655 · (423) 282-5555
-
Washington County Community Residential Services, Inc
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