Provider Demographics
NPI:1518104785
Name:MILLER COUNSELING INC
Entity Type:Organization
Organization Name:MILLER COUNSELING INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BILLING MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:TERESA
Authorized Official - Middle Name:
Authorized Official - Last Name:LUSTER
Authorized Official - Suffix:
Authorized Official - Credentials:CPC
Authorized Official - Phone:502-543-4100
Mailing Address - Street 1:PO BOX 850
Mailing Address - Street 2:
Mailing Address - City:SHEPHERDSVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40165-0850
Mailing Address - Country:US
Mailing Address - Phone:502-543-1009
Mailing Address - Fax:502-921-9762
Practice Address - Street 1:170 FRANK E SIMON AVE
Practice Address - Street 2:
Practice Address - City:SHEPHERDSVILLE
Practice Address - State:KY
Practice Address - Zip Code:40165-6547
Practice Address - Country:US
Practice Address - Phone:502-543-1009
Practice Address - Fax:502-921-9762
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-01-09
Last Update Date:2009-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY13941041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty