Provider Demographics
NPI:1144098609
Name:MILLER MFT, LLC
Entity type:Organization
Organization Name:MILLER MFT, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTY
Authorized Official - Middle Name:A
Authorized Official - Last Name:MILLER
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT
Authorized Official - Phone:828-964-8510
Mailing Address - Street 1:PO BOX 272
Mailing Address - Street 2:
Mailing Address - City:ZIONVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28698-0272
Mailing Address - Country:US
Mailing Address - Phone:828-964-8510
Mailing Address - Fax:
Practice Address - Street 1:895 STATE FARM RD STE 403-1
Practice Address - Street 2:
Practice Address - City:BOONE
Practice Address - State:NC
Practice Address - Zip Code:28607-4917
Practice Address - Country:US
Practice Address - Phone:828-964-8510
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-12-14
Last Update Date:2023-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health