Provider Demographics
NPI:1649648353
Name:MILLER, RYAN DANIELLE (LMFT)
Entity type:Individual
Prefix:
First Name:RYAN
Middle Name:DANIELLE
Last Name:MILLER
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14402 DAYTON PIKE STE D
Mailing Address - Street 2:
Mailing Address - City:SALE CREEK
Mailing Address - State:TN
Mailing Address - Zip Code:37373-7823
Mailing Address - Country:US
Mailing Address - Phone:423-451-6898
Mailing Address - Fax:
Practice Address - Street 1:14402 DAYTON PIKE # D
Practice Address - Street 2:
Practice Address - City:SALE CREEK
Practice Address - State:TN
Practice Address - Zip Code:37373-7823
Practice Address - Country:US
Practice Address - Phone:423-855-7376
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-09-11
Last Update Date:2024-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN1067106H00000X
106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty