Provider Demographics
NPI:1548797350
Name:MILLER, HEATHER (LIMHP)
Entity Type:Individual
Prefix:
First Name:HEATHER
Middle Name:
Last Name:MILLER
Suffix:
Gender:F
Credentials:LIMHP
Other - Prefix:
Other - First Name:HEATHER
Other - Middle Name:
Other - Last Name:SWEZEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:8620 LEXINGTON AVE APT 237
Mailing Address - Street 2:
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68505-3659
Mailing Address - Country:US
Mailing Address - Phone:402-202-3014
Mailing Address - Fax:
Practice Address - Street 1:8620 LEXINGTON AVE APT 237
Practice Address - Street 2:
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68505-3659
Practice Address - Country:US
Practice Address - Phone:402-202-3014
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-05-11
Last Update Date:2021-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALMFT99417106H00000X
NE1934101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist