Provider Demographics
NPI:1073686986
Name:MILLER, ANTHONY MAURICE (LPCC)
Entity Type:Individual
Prefix:MR
First Name:ANTHONY
Middle Name:MAURICE
Last Name:MILLER
Suffix:
Gender:M
Credentials:LPCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:227 MATTHEW AVE
Mailing Address - Street 2:
Mailing Address - City:WESTERVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:43081-1806
Mailing Address - Country:US
Mailing Address - Phone:614-440-6252
Mailing Address - Fax:614-888-1260
Practice Address - Street 1:6161 BUSCH BLVD
Practice Address - Street 2:SUITE 101
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43229-2508
Practice Address - Country:US
Practice Address - Phone:614-440-6252
Practice Address - Fax:614-888-1260
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-16
Last Update Date:2007-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHE 0003283101Y00000X, 101YM0800X, 101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101Y00000XBehavioral Health & Social Service ProvidersCounselor
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health