Provider Demographics
NPI:1629964127
Name:DEVAUGHN-MILLER, AMANI R
Entity type:Individual
Prefix:
First Name:AMANI
Middle Name:R
Last Name:DEVAUGHN-MILLER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2670 LEHMAN RD APT 201D
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45204-1856
Mailing Address - Country:US
Mailing Address - Phone:513-390-6450
Mailing Address - Fax:
Practice Address - Street 1:2670 LEHMAN RD APT 201D
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45204-1856
Practice Address - Country:US
Practice Address - Phone:513-390-6450
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-06-13
Last Update Date:2025-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TM1800XBehavioral Health & Social Service ProvidersPsychologistIntellectual & Developmental Disabilities