Provider Demographics
NPI:1912959222
Name:MILLER, JODI WHITTEN (LMHC)
Entity Type:Individual
Prefix:MRS
First Name:JODI
Middle Name:WHITTEN
Last Name:MILLER
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8340 SW SUNDANCE CIR
Mailing Address - Street 2:
Mailing Address - City:STUART
Mailing Address - State:FL
Mailing Address - Zip Code:34997-4847
Mailing Address - Country:US
Mailing Address - Phone:407-810-0984
Mailing Address - Fax:
Practice Address - Street 1:8340 SW SUNDANCE CIR
Practice Address - Street 2:
Practice Address - City:STUART
Practice Address - State:FL
Practice Address - Zip Code:34997-4847
Practice Address - Country:US
Practice Address - Phone:407-810-0984
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-05-16
Last Update Date:2021-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH7387101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health