Provider Demographics
NPI:1003614918
Name:MILLER, TROY CURTIS
Entity type:Individual
Prefix:MR
First Name:TROY
Middle Name:CURTIS
Last Name:MILLER
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3232 CENTRAL PARK W STE C
Mailing Address - Street 2:
Mailing Address - City:TOLEDO
Mailing Address - State:OH
Mailing Address - Zip Code:43617-3011
Mailing Address - Country:US
Mailing Address - Phone:419-740-0402
Mailing Address - Fax:567-232-9178
Practice Address - Street 1:3232 CENTRAL PARK W STE C
Practice Address - Street 2:
Practice Address - City:TOLEDO
Practice Address - State:OH
Practice Address - Zip Code:43617-3011
Practice Address - Country:US
Practice Address - Phone:419-740-0402
Practice Address - Fax:567-232-9178
Is Sole Proprietor?:Yes
Enumeration Date:2025-03-05
Last Update Date:2025-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHS.1701603104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker