Provider Demographics
NPI:1386767614
Name:MILLER, ANNE MARIE (MA LPC CAADC)
Entity type:Individual
Prefix:MRS
First Name:ANNE
Middle Name:MARIE
Last Name:MILLER
Suffix:
Gender:F
Credentials:MA LPC CAADC
Other - Prefix:
Other - First Name:ANNE
Other - Middle Name:MARIE
Other - Last Name:ALLEN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LPC
Mailing Address - Street 1:3840 HUNT CLUB COURT
Mailing Address - Street 2:
Mailing Address - City:SHELBY TOWNSHIP
Mailing Address - State:MI
Mailing Address - Zip Code:48316-4820
Mailing Address - Country:US
Mailing Address - Phone:586-651-9494
Mailing Address - Fax:
Practice Address - Street 1:3840 HUNT CLUB COURT
Practice Address - Street 2:
Practice Address - City:SHELBY TOWNSHIP
Practice Address - State:MI
Practice Address - Zip Code:48316-4820
Practice Address - Country:US
Practice Address - Phone:586-651-9494
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-04-10
Last Update Date:2022-05-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6401006868101YP2500X
MI641006868101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101Y00000XBehavioral Health & Social Service ProvidersCounselor