Provider Demographics
NPI:1083009963
Name:MILLER, TORI (LISW-S)
Entity Type:Individual
Prefix:
First Name:TORI
Middle Name:
Last Name:MILLER
Suffix:
Gender:F
Credentials:LISW-S
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8916 FONTAINEBLEAU TER
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45231-4806
Mailing Address - Country:US
Mailing Address - Phone:513-409-4778
Mailing Address - Fax:
Practice Address - Street 1:8916 FONTAINEBLEAU TER
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45231-4806
Practice Address - Country:US
Practice Address - Phone:513-409-4778
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-03-30
Last Update Date:2020-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHS1500249104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker