Provider Demographics
NPI:1538683040
Name:MILLER, ARIEL (LMFT)
Entity Type:Individual
Prefix:
First Name:ARIEL
Middle Name:
Last Name:MILLER
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:ARIEL
Other - Middle Name:
Other - Last Name:EADS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2501 VALLEY DR
Mailing Address - Street 2:
Mailing Address - City:VALPARAISO
Mailing Address - State:IN
Mailing Address - Zip Code:46383-2518
Mailing Address - Country:US
Mailing Address - Phone:219-323-3311
Mailing Address - Fax:888-981-2760
Practice Address - Street 1:2501 VALLEY DR
Practice Address - Street 2:
Practice Address - City:VALPARAISO
Practice Address - State:IN
Practice Address - Zip Code:46383-2518
Practice Address - Country:US
Practice Address - Phone:219-323-3311
Practice Address - Fax:888-981-2760
Is Sole Proprietor?:No
Enumeration Date:2017-07-27
Last Update Date:2023-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN35002346A106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist