Provider Demographics
NPI:1336156793
Name:MILLER, LEAH HAUSMAN (MA, PCC)
Entity type:Individual
Prefix:MRS
First Name:LEAH
Middle Name:HAUSMAN
Last Name:MILLER
Suffix:
Gender:F
Credentials:MA, PCC
Other - Prefix:
Other - First Name:LEAH
Other - Middle Name:HAUSMAN
Other - Last Name:PETTIGREW
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MA, PCC
Mailing Address - Street 1:114 MAIN STREET
Mailing Address - Street 2:
Mailing Address - City:MILFORD
Mailing Address - State:OH
Mailing Address - Zip Code:45150
Mailing Address - Country:US
Mailing Address - Phone:513-248-0490
Mailing Address - Fax:513-521-4856
Practice Address - Street 1:114 MAIN STREET
Practice Address - Street 2:
Practice Address - City:MILFORD
Practice Address - State:OH
Practice Address - Zip Code:45150
Practice Address - Country:US
Practice Address - Phone:513-248-0490
Practice Address - Fax:513-521-4856
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-01
Last Update Date:2022-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHE0006602101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional