Provider Demographics
NPI:1922332154
Name:MILLER, EMILY SARA (MED, LMHC, LPCC)
Entity Type:Individual
Prefix:
First Name:EMILY
Middle Name:SARA
Last Name:MILLER
Suffix:
Gender:F
Credentials:MED, LMHC, LPCC
Other - Prefix:
Other - First Name:EMILY
Other - Middle Name:SARA
Other - Last Name:GARY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:95 HOUNDS DITCH LN
Mailing Address - Street 2:
Mailing Address - City:DUXBURY
Mailing Address - State:MA
Mailing Address - Zip Code:02332-4445
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:62 DERBY ST
Practice Address - Street 2:SUITE 6
Practice Address - City:HINGHAM
Practice Address - State:MA
Practice Address - Zip Code:02043-3728
Practice Address - Country:US
Practice Address - Phone:781-749-9227
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-09-21
Last Update Date:2016-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA9625101YM0800X
MN774101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health