Provider Demographics
NPI:1861773780
Name:MILLER COUNSELING SERVICES
Entity type:Organization
Organization Name:MILLER COUNSELING SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:DEBORAH
Authorized Official - Middle Name:HELEN
Authorized Official - Last Name:MILLER
Authorized Official - Suffix:
Authorized Official - Credentials:MSW, LCSW
Authorized Official - Phone:574-993-0896
Mailing Address - Street 1:50740 PRINCESS WAY
Mailing Address - Street 2:SUITE 700
Mailing Address - City:GRANGER
Mailing Address - State:IN
Mailing Address - Zip Code:46530-4339
Mailing Address - Country:US
Mailing Address - Phone:574-993-0896
Mailing Address - Fax:866-267-9028
Practice Address - Street 1:50740 PRINCESS WAY
Practice Address - Street 2:SUITE 700
Practice Address - City:GRANGER
Practice Address - State:IN
Practice Address - Zip Code:46530-4339
Practice Address - Country:US
Practice Address - Phone:574-993-0896
Practice Address - Fax:866-267-9028
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-09-06
Last Update Date:2011-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN34004379A1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty