Provider Demographics
NPI:1700364791
Name:MILLER, ASHLEIGH E (LCSW)
Entity Type:Individual
Prefix:
First Name:ASHLEIGH
Middle Name:E
Last Name:MILLER
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:ASHLEIGH
Other - Middle Name:E
Other - Last Name:BELLA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:29 TRAILING ROCK RD
Mailing Address - Street 2:
Mailing Address - City:STAMFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06903-2021
Mailing Address - Country:US
Mailing Address - Phone:203-883-4304
Mailing Address - Fax:203-655-3452
Practice Address - Street 1:590 POST RD
Practice Address - Street 2:
Practice Address - City:DARIEN
Practice Address - State:CT
Practice Address - Zip Code:06820-3608
Practice Address - Country:US
Practice Address - Phone:203-655-4693
Practice Address - Fax:203-655-3452
Is Sole Proprietor?:Yes
Enumeration Date:2018-08-01
Last Update Date:2021-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT4331104100000X
CT114081041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No104100000XBehavioral Health & Social Service ProvidersSocial Worker