Provider Demographics
NPI:1518184373
Name:MILLER, ADOLPH J (BA CASE MANAGER)
Entity Type:Individual
Prefix:MR
First Name:ADOLPH
Middle Name:J
Last Name:MILLER
Suffix:
Gender:M
Credentials:BA CASE MANAGER
Other - Prefix:
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Mailing Address - Street 1:857 OAKBLUFF DR
Mailing Address - Street 2:
Mailing Address - City:LANCASTER
Mailing Address - State:TX
Mailing Address - Zip Code:75146-1430
Mailing Address - Country:US
Mailing Address - Phone:469-951-6184
Mailing Address - Fax:214-371-3933
Practice Address - Street 1:3330 S LANCASTER RD
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75216-4531
Practice Address - Country:US
Practice Address - Phone:214-371-0474
Practice Address - Fax:214-371-3933
Is Sole Proprietor?:No
Enumeration Date:2007-04-20
Last Update Date:2007-07-08
Deactivation Date:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health