Provider Demographics
NPI:1801169610
Name:MILLER, SHERYL HOPE (LCSW-BACS)
Entity type:Individual
Prefix:MRS
First Name:SHERYL
Middle Name:HOPE
Last Name:MILLER
Suffix:
Gender:F
Credentials:LCSW-BACS
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 64749
Mailing Address - Street 2:
Mailing Address - City:BATON ROUGE
Mailing Address - State:LA
Mailing Address - Zip Code:70896-4749
Mailing Address - Country:US
Mailing Address - Phone:225-218-8244
Mailing Address - Fax:225-930-9954
Practice Address - Street 1:5236 LOST OAK DR
Practice Address - Street 2:
Practice Address - City:BATON ROUGE
Practice Address - State:LA
Practice Address - Zip Code:70817-2717
Practice Address - Country:US
Practice Address - Phone:225-937-5366
Practice Address - Fax:225-930-9954
Is Sole Proprietor?:Yes
Enumeration Date:2012-02-10
Last Update Date:2025-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA84911041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical