Provider Demographics
NPI:1174399588
Name:MILLER, ASIA
Entity type:Individual
Prefix:
First Name:ASIA
Middle Name:
Last Name:MILLER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:304 WASHINGTON AVE
Mailing Address - Street 2:
Mailing Address - City:WELDON
Mailing Address - State:NC
Mailing Address - Zip Code:27890-1550
Mailing Address - Country:US
Mailing Address - Phone:252-678-8367
Mailing Address - Fax:252-678-8303
Practice Address - Street 1:304 WASHINGTON AVE
Practice Address - Street 2:
Practice Address - City:WELDON
Practice Address - State:NC
Practice Address - Zip Code:27890-1550
Practice Address - Country:US
Practice Address - Phone:252-678-8367
Practice Address - Fax:252-678-8303
Is Sole Proprietor?:No
Enumeration Date:2023-11-27
Last Update Date:2025-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCP0224231041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical