National Provider Identifier
Miranda Nellis
Miranda Nellis is listed in the NPPES registry with a primary specialty of Mental Health Counselor in Buffalo, NY and a listed phone number of (716) 831-2700.
Profile Overview
- NPI
- 1366806499
- Provider Type
- Individual
- Primary Specialty
- Mental Health Counselor
- Enumeration Date
- April 05, 2016
- Last Updated
- March 19, 2021
Practice Location
- 3020 Bailey Ave
- Buffalo, NY 14215-2814
Phone: (716) 831-2700
Mailing Address
- 55 Dodge RD
- Getzville, NY 14068-1205
Specialties
- Mental Health Counselor (101YM0800X)
Full Record
- NPI
- 1366806499
- Entity Type
- Individual
- Last Name
- Nellis
- First Name
- Miranda
- Mailing Street Address
- 55 Dodge RD
- Mailing City
- Getzville
- Mailing State
- NY
- Mailing ZIP Code
- 14068-1205
- Mailing Country
- US
- Mailing Phone
- (716) 831-2700
- Mailing Fax
- (716) 831-1818
- Practice Street Address
- 3020 Bailey Ave
- Practice City
- Buffalo
- Practice State
- NY
- Practice ZIP Code
- 14215-2814
- Practice Country
- US
- Practice Phone
- (716) 831-2700
- Enumeration Date
- April 05, 2016
- Last Updated
- March 19, 2021
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- March 19, 2021
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Mental Health Counselor (101YM0800X)