Provider Demographics
NPI:1518697556
Name:AMY MILLER LPC
Entity Type:Organization
Organization Name:AMY MILLER LPC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSE PROFESSIONAL COUNSELOR
Authorized Official - Prefix:
Authorized Official - First Name:AMY
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:MILLER
Authorized Official - Suffix:
Authorized Official - Credentials:MS
Authorized Official - Phone:181-450-4528
Mailing Address - Street 1:327 MAIN ST STE 102
Mailing Address - Street 2:
Mailing Address - City:CLARION
Mailing Address - State:PA
Mailing Address - Zip Code:16214-1079
Mailing Address - Country:US
Mailing Address - Phone:814-454-4422
Mailing Address - Fax:
Practice Address - Street 1:327 MAIN ST STE 102
Practice Address - Street 2:
Practice Address - City:CLARION
Practice Address - State:PA
Practice Address - Zip Code:16214-1079
Practice Address - Country:US
Practice Address - Phone:814-454-4422
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-06-13
Last Update Date:2022-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0855XAmbulatory Health Care FacilitiesClinic/CenterAdolescent and Children Mental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAPC003715OtherMENTAL HEALTH