Provider Demographics
NPI:1043105752
Name:MILLER EXPRESSIVE THERAPY
Entity type:Organization
Organization Name:MILLER EXPRESSIVE THERAPY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER AND THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:REBECCA
Authorized Official - Middle Name:
Authorized Official - Last Name:MILLER
Authorized Official - Suffix:
Authorized Official - Credentials:LCPC
Authorized Official - Phone:301-514-8602
Mailing Address - Street 1:10012 VANDERBILT CIR APT 12
Mailing Address - Street 2:
Mailing Address - City:ROCKVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20850-4802
Mailing Address - Country:US
Mailing Address - Phone:301-514-8602
Mailing Address - Fax:
Practice Address - Street 1:10012 VANDERBILT CIR APT 12
Practice Address - Street 2:
Practice Address - City:ROCKVILLE
Practice Address - State:MD
Practice Address - Zip Code:20850-4802
Practice Address - Country:US
Practice Address - Phone:301-514-8602
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-06-11
Last Update Date:2025-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty