Provider Demographics
NPI:1366828550
Name:MILLER, CHESNEY (MS, LMFT)
Entity Type:Individual
Prefix:
First Name:CHESNEY
Middle Name:
Last Name:MILLER
Suffix:
Gender:F
Credentials:MS, LMFT
Other - Prefix:
Other - First Name:CHESNEY
Other - Middle Name:
Other - Last Name:LIMAS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:8000 BONHOMME AVE STE 319
Mailing Address - Street 2:
Mailing Address - City:CLAYTON
Mailing Address - State:MO
Mailing Address - Zip Code:63105-3515
Mailing Address - Country:US
Mailing Address - Phone:612-324-5212
Mailing Address - Fax:
Practice Address - Street 1:8000 BONHOMME AVE STE 319
Practice Address - Street 2:
Practice Address - City:CLAYTON
Practice Address - State:MO
Practice Address - Zip Code:63105-3515
Practice Address - Country:US
Practice Address - Phone:612-324-5212
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-08-11
Last Update Date:2023-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI1188-124106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist