Provider Demographics
NPI:1023713559
Name:MILLER, KALI MARIE (ATR-P, LPC)
Entity type:Individual
Prefix:
First Name:KALI
Middle Name:MARIE
Last Name:MILLER
Suffix:
Gender:F
Credentials:ATR-P, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18890 W 153RD CT UNIT 301
Mailing Address - Street 2:
Mailing Address - City:OLATHE
Mailing Address - State:KS
Mailing Address - Zip Code:66062-3239
Mailing Address - Country:US
Mailing Address - Phone:913-687-1926
Mailing Address - Fax:
Practice Address - Street 1:8575 W 110TH ST STE 110
Practice Address - Street 2:
Practice Address - City:OVERLAND PARK
Practice Address - State:KS
Practice Address - Zip Code:66210-2606
Practice Address - Country:US
Practice Address - Phone:913-335-0085
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-04-03
Last Update Date:2024-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS22-277101YP2500X
KS04063101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional