Organization Name: | MILLER COUNSELING SERVICES |
NPI Number: | 1003297060 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | NICHOLAS J MILLER (LICENSED PROFESSIONAL COUNSELOR) |
Mailing Address: | 232 Burton St Blairsville |
State: | GA US |
Postal Code: | 305122311 |
Phone Number: | 7705000681 |
Fax Number: | |
NPI Enumeration Date: | 06/16/2015 |
NPI Last Update Date: | 06/16/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | LPC008450 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | GA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |