Provider Demographics
NPI:1124317425
Name:MILLER, ELIZABETH E (LPCC)
Entity type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:E
Last Name:MILLER
Suffix:
Gender:F
Credentials:LPCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:234 W CHAMPLIN RD
Mailing Address - Street 2:
Mailing Address - City:WILMINGTON
Mailing Address - State:OH
Mailing Address - Zip Code:45177-9791
Mailing Address - Country:US
Mailing Address - Phone:937-728-8170
Mailing Address - Fax:513-855-2011
Practice Address - Street 1:234 W CHAMPLIN RD
Practice Address - Street 2:
Practice Address - City:WILMINGTON
Practice Address - State:OH
Practice Address - Zip Code:45177-9791
Practice Address - Country:US
Practice Address - Phone:937-728-8170
Practice Address - Fax:513-793-3661
Is Sole Proprietor?:Yes
Enumeration Date:2011-04-07
Last Update Date:2023-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHE. 1500001101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health