Provider Demographics
NPI:1295142537
Name:MILLER COUNSELING LLC
Entity type:Organization
Organization Name:MILLER COUNSELING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MARJORIE
Authorized Official - Middle Name:
Authorized Official - Last Name:MILLER
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:502-955-1009
Mailing Address - Street 1:PO BOX 850
Mailing Address - Street 2:4815 N PRESTON HWY
Mailing Address - City:SHEPHERDSVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40165-0850
Mailing Address - Country:US
Mailing Address - Phone:502-955-1009
Mailing Address - Fax:502-921-9762
Practice Address - Street 1:4815 N PRESTON HWY
Practice Address - Street 2:
Practice Address - City:SHEPHERDSVILLE
Practice Address - State:KY
Practice Address - Zip Code:40165-9223
Practice Address - Country:US
Practice Address - Phone:502-955-1009
Practice Address - Fax:502-921-9762
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-07-18
Last Update Date:2014-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY1394101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty