Provider Demographics
NPI:1639763329
Name:MILLER, LAUNIE LANELLE
Entity type:Individual
Prefix:
First Name:LAUNIE
Middle Name:LANELLE
Last Name:MILLER
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 37035
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45222-0035
Mailing Address - Country:US
Mailing Address - Phone:513-578-4479
Mailing Address - Fax:
Practice Address - Street 1:1329 E KEMPER RD STE 4100H
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45246-5104
Practice Address - Country:US
Practice Address - Phone:513-671-8287
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-02-24
Last Update Date:2025-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHLICDC.162305101YA0400X, 101YA0400X
OHE.2404499101YP2500X, 101YM0800X
OHC.2204333101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0433916Medicaid