Provider Demographics
NPI:1104558279
Name:MILLER, EUGENIA HALL (MSHS)
Entity type:Individual
Prefix:MS
First Name:EUGENIA
Middle Name:HALL
Last Name:MILLER
Suffix:
Gender:F
Credentials:MSHS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6731 FRONTIER DR # 1042
Mailing Address - Street 2:
Mailing Address - City:SPRINGFIELD
Mailing Address - State:VA
Mailing Address - Zip Code:22150-1412
Mailing Address - Country:US
Mailing Address - Phone:571-338-0559
Mailing Address - Fax:
Practice Address - Street 1:15941 DONALD CURTIS DR
Practice Address - Street 2:SUITE 180
Practice Address - City:WOODBRIDGE
Practice Address - State:VA
Practice Address - Zip Code:22191
Practice Address - Country:US
Practice Address - Phone:571-338-0559
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-06-28
Last Update Date:2023-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171M00000XOther Service ProvidersCase Manager/Care CoordinatorGroup - Single Specialty
No251C00000XAgenciesDay Training, Developmentally Disabled ServicesGroup - Single Specialty