Provider Demographics
NPI:1275130767
Name:MILLER, EMILY LUDWIN (MED, NCC, LPC)
Entity Type:Individual
Prefix:
First Name:EMILY
Middle Name:LUDWIN
Last Name:MILLER
Suffix:
Gender:F
Credentials:MED, NCC, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1941 CONGRESS ST
Mailing Address - Street 2:
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70117-5927
Mailing Address - Country:US
Mailing Address - Phone:504-608-7457
Mailing Address - Fax:
Practice Address - Street 1:1941 CONGRESS ST
Practice Address - Street 2:
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70117-5927
Practice Address - Country:US
Practice Address - Phone:504-608-7457
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-10-07
Last Update Date:2020-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA7395101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health