Provider Demographics
NPI:1477798924
Name:MILLER, SUSAN (SUZI) P (LPC-MHSP, NCC)
Entity Type:Individual
Prefix:
First Name:SUSAN (SUZI)
Middle Name:P
Last Name:MILLER
Suffix:
Gender:F
Credentials:LPC-MHSP, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7004 HIGH ALPINE LN
Mailing Address - Street 2:
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37918-0991
Mailing Address - Country:US
Mailing Address - Phone:865-236-0411
Mailing Address - Fax:865-381-1205
Practice Address - Street 1:224 S PETERS RD STE 204
Practice Address - Street 2:
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37923-5207
Practice Address - Country:US
Practice Address - Phone:865-236-0411
Practice Address - Fax:865-309-5651
Is Sole Proprietor?:Yes
Enumeration Date:2008-12-12
Last Update Date:2024-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN2335101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional