Provider Demographics
NPI:1750736955
Name:MILLER, ZACHARY (LMHC, MCAP)
Entity type:Individual
Prefix:
First Name:ZACHARY
Middle Name:
Last Name:MILLER
Suffix:
Gender:M
Credentials:LMHC, MCAP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:160 CYPRESS POINT PKWY STE B201
Mailing Address - Street 2:
Mailing Address - City:PALM COAST
Mailing Address - State:FL
Mailing Address - Zip Code:32164-8442
Mailing Address - Country:US
Mailing Address - Phone:386-986-6498
Mailing Address - Fax:
Practice Address - Street 1:160 CYPRESS POINT PKWY STE B201
Practice Address - Street 2:
Practice Address - City:PALM COAST
Practice Address - State:FL
Practice Address - Zip Code:32164-8442
Practice Address - Country:US
Practice Address - Phone:386-986-6498
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-04-26
Last Update Date:2022-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMCAP100638101YA0400X
NC2969101YA0400X
FLMH20423101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)