Provider Demographics
NPI:1053455147
Name:MILLER, HEATH P (LCSW)
Entity Type:Individual
Prefix:MR
First Name:HEATH
Middle Name:P
Last Name:MILLER
Suffix:
Gender:M
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3056 S MACON CIR
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80014-3054
Mailing Address - Country:US
Mailing Address - Phone:307-200-9702
Mailing Address - Fax:
Practice Address - Street 1:4155 E JEWELL AVE STE 1117
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80222-4516
Practice Address - Country:US
Practice Address - Phone:307-200-9702
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-20
Last Update Date:2023-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COCSW.099282111041C0700X
WYLCSW-3961041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical