| Doctor Name: | KIRSTEN MILLER |
| NPI Number: | 1114159266 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MSW, LCSW |
| License Number: | CSW004141 |
| Business Practice Address: | 1201 Georgian Park Peachtree City, GA - 302696972 |
| Business Phone Number: | 4046601118 |
| Business Fax Number: | |
| Mailing Address: | 130 Windalier Rdg, PEACHTREE CITY |
| State: | GA |
| Postal Code: | 302693208 |
| Phone Number: | |
| Fax Number: | |
| NPI Enumeration Date: | 08/21/2009 |
| NPI Last Update Date: | 08/21/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | CSW004141 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | GA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |