Provider Demographics
NPI:1730468968
Name:MILLER-SIMONE, BREE ANN (LPCC, RTC)
Entity Type:Individual
Prefix:MRS
First Name:BREE
Middle Name:ANN
Last Name:MILLER-SIMONE
Suffix:
Gender:F
Credentials:LPCC, RTC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2672 HILLBROOKE PARKWAY
Mailing Address - Street 2:
Mailing Address - City:OWENSBORO
Mailing Address - State:KY
Mailing Address - Zip Code:42303
Mailing Address - Country:US
Mailing Address - Phone:270-302-5724
Mailing Address - Fax:
Practice Address - Street 1:920 FREDERICA ST
Practice Address - Street 2:SUITE 406
Practice Address - City:OWENSBORO
Practice Address - State:KY
Practice Address - Zip Code:42301-3050
Practice Address - Country:US
Practice Address - Phone:270-689-0073
Practice Address - Fax:270-689-0083
Is Sole Proprietor?:Yes
Enumeration Date:2011-08-05
Last Update Date:2016-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY103866101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional