Provider Demographics
NPI:1508385493
Name:MILLER, ALISHA LOUISE (LCMHC)
Entity Type:Individual
Prefix:
First Name:ALISHA
Middle Name:LOUISE
Last Name:MILLER
Suffix:
Gender:F
Credentials:LCMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2730 ROCKWOOD RD
Mailing Address - Street 2:
Mailing Address - City:GREENSBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27408-3216
Mailing Address - Country:US
Mailing Address - Phone:704-692-6934
Mailing Address - Fax:
Practice Address - Street 1:1301 CAROLINA ST STE 114
Practice Address - Street 2:
Practice Address - City:GREENSBORO
Practice Address - State:NC
Practice Address - Zip Code:27401-1090
Practice Address - Country:US
Practice Address - Phone:336-542-2060
Practice Address - Fax:888-458-8020
Is Sole Proprietor?:No
Enumeration Date:2017-09-12
Last Update Date:2021-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC13345101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health