Provider Demographics
NPI:1386870525
Name:MILLER, JULIE (LPC-S)
Entity type:Individual
Prefix:
First Name:JULIE
Middle Name:
Last Name:MILLER
Suffix:
Gender:F
Credentials:LPC-S
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2760 BROWNS LN STE D
Mailing Address - Street 2:
Mailing Address - City:JONESBORO
Mailing Address - State:AR
Mailing Address - Zip Code:72401-7271
Mailing Address - Country:US
Mailing Address - Phone:870-333-5300
Mailing Address - Fax:870-573-8038
Practice Address - Street 1:2760 BROWNS LN STE D
Practice Address - Street 2:
Practice Address - City:JONESBORO
Practice Address - State:AR
Practice Address - Zip Code:72401-7271
Practice Address - Country:US
Practice Address - Phone:870-333-5300
Practice Address - Fax:870-573-8038
Is Sole Proprietor?:No
Enumeration Date:2009-06-02
Last Update Date:2023-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
171M00000X
ARP1607090101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No171M00000XOther Service ProvidersCase Manager/Care Coordinator
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR5BT44OtherBCBS
AR177053795Medicaid