Provider Demographics
NPI:1649526526
Name:MILLER, AMI RUTH (LPC, LCPC, MS)
Entity type:Individual
Prefix:MRS
First Name:AMI
Middle Name:RUTH
Last Name:MILLER
Suffix:
Gender:F
Credentials:LPC, LCPC, MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:294 WALKER RD
Mailing Address - Street 2:
Mailing Address - City:ROCKWOOD
Mailing Address - State:PA
Mailing Address - Zip Code:15557-5909
Mailing Address - Country:US
Mailing Address - Phone:814-289-1642
Mailing Address - Fax:
Practice Address - Street 1:294 WALKER RD
Practice Address - Street 2:
Practice Address - City:ROCKWOOD
Practice Address - State:PA
Practice Address - Zip Code:15557-5909
Practice Address - Country:US
Practice Address - Phone:814-289-1642
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-07-30
Last Update Date:2019-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC009574101YP2500X
MDLC4318101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional