Organization Name: | ROBIN MILLER LCSW LTD |
NPI Number: | 1073874855 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ROBIN MILLER (PRESIDENT) |
Mailing Address: | 209 E Park St Ste B Mundelein |
State: | IL US |
Postal Code: | 600601972 |
Phone Number: | 7734157566 |
Fax Number: | |
NPI Enumeration Date: | 06/07/2012 |
NPI Last Update Date: | 06/07/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |