Provider Demographics
NPI:1386890119
Name:MILLER, JOY LOUISE (LPC)
Entity type:Individual
Prefix:MS
First Name:JOY
Middle Name:LOUISE
Last Name:MILLER
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2105 E NASHVILLE CHURCH RD
Mailing Address - Street 2:
Mailing Address - City:ASHLAND
Mailing Address - State:MO
Mailing Address - Zip Code:65010-9069
Mailing Address - Country:US
Mailing Address - Phone:573-999-2380
Mailing Address - Fax:
Practice Address - Street 1:601 BUSINESS LOOP 70 W
Practice Address - Street 2:SUITE 153 A
Practice Address - City:COLUMBIA
Practice Address - State:MO
Practice Address - Zip Code:65203-2585
Practice Address - Country:US
Practice Address - Phone:573-499-4572
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-08-12
Last Update Date:2008-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO1999136659101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health