Provider Demographics
NPI:1861859985
Name:MILLER COUNSELING & ASSOCIATES, INC.
Entity Type:Organization
Organization Name:MILLER COUNSELING & ASSOCIATES, INC.
Other - Org Name:CINDY MILLER COUNSELING AND BEHAVIORAL HEALTH ASSOCIATES
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:SOCIAL WORKER
Authorized Official - Prefix:
Authorized Official - First Name:CINDY
Authorized Official - Middle Name:L
Authorized Official - Last Name:MILLER
Authorized Official - Suffix:
Authorized Official - Credentials:RN, LCSW
Authorized Official - Phone:630-324-8298
Mailing Address - Street 1:8012 W LINCOLN HWY
Mailing Address - Street 2:
Mailing Address - City:FRANKFORT
Mailing Address - State:IL
Mailing Address - Zip Code:60423-9410
Mailing Address - Country:US
Mailing Address - Phone:630-324-8298
Mailing Address - Fax:
Practice Address - Street 1:8012 W LINCOLN HWY
Practice Address - Street 2:
Practice Address - City:FRANKFORT
Practice Address - State:IL
Practice Address - Zip Code:60423-9410
Practice Address - Country:US
Practice Address - Phone:630-324-8298
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-01-20
Last Update Date:2016-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL1490117781041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty