Provider Demographics
NPI:1639575533
Name:MILLER, TAMMI RHUVE (EDS NCSP PPC LPC)
Entity Type:Individual
Prefix:MRS
First Name:TAMMI
Middle Name:RHUVE
Last Name:MILLER
Suffix:
Gender:F
Credentials:EDS NCSP PPC LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2005 WARREN AVE
Mailing Address - Street 2:
Mailing Address - City:CHEYENNE
Mailing Address - State:WY
Mailing Address - Zip Code:82001-3725
Mailing Address - Country:US
Mailing Address - Phone:307-220-8152
Mailing Address - Fax:
Practice Address - Street 1:2005 WARREN AVE
Practice Address - Street 2:
Practice Address - City:CHEYENNE
Practice Address - State:WY
Practice Address - Zip Code:82001-3725
Practice Address - Country:US
Practice Address - Phone:307-220-8152
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-11-05
Last Update Date:2019-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WYCSSP-13101Y00000X, 101YM0800X
251B00000X, 251C00000X
WYLPC-1789101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101Y00000XBehavioral Health & Social Service ProvidersCounselor
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No251B00000XAgenciesCase Management
No251C00000XAgenciesDay Training, Developmentally Disabled Services