Provider Demographics
NPI:1457936411
Name:THE MILLER CENTER
Entity Type:Organization
Organization Name:THE MILLER CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ANN
Authorized Official - Middle Name:HULL
Authorized Official - Last Name:KUSTER
Authorized Official - Suffix:
Authorized Official - Credentials:LISW
Authorized Official - Phone:216-407-6278
Mailing Address - Street 1:23215 COMMERCE PARK STE 205
Mailing Address - Street 2:
Mailing Address - City:BEACHWOOD
Mailing Address - State:OH
Mailing Address - Zip Code:44122-5803
Mailing Address - Country:US
Mailing Address - Phone:164-076-2782
Mailing Address - Fax:
Practice Address - Street 1:23215 COMMERCE PARK STE 205
Practice Address - Street 2:
Practice Address - City:BEACHWOOD
Practice Address - State:OH
Practice Address - Zip Code:44122-5803
Practice Address - Country:US
Practice Address - Phone:216-407-6278
Practice Address - Fax:216-647-0613
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:THE HULL INSTITUTE, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2021-03-11
Last Update Date:2021-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty
No103TB0200XBehavioral Health & Social Service ProvidersPsychologistCognitive & BehavioralGroup - Single Specialty
No103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty