Provider Demographics
NPI:1295412252
Name:STEPHEN MILLER, LMFT
Entity type:Organization
Organization Name:STEPHEN MILLER, LMFT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:STEPHEN
Authorized Official - Middle Name:FINN
Authorized Official - Last Name:MILLER
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT
Authorized Official - Phone:716-588-0181
Mailing Address - Street 1:295 MAIN ST RM 1095
Mailing Address - Street 2:
Mailing Address - City:BUFFALO
Mailing Address - State:NY
Mailing Address - Zip Code:14203-2512
Mailing Address - Country:US
Mailing Address - Phone:716-588-0181
Mailing Address - Fax:716-582-0194
Practice Address - Street 1:406 LINWOOD AVE
Practice Address - Street 2:
Practice Address - City:BUFFALO
Practice Address - State:NY
Practice Address - Zip Code:14209-1629
Practice Address - Country:US
Practice Address - Phone:716-588-0181
Practice Address - Fax:716-582-0194
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-06-30
Last Update Date:2024-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)