Provider Demographics
NPI:1467200949
Name:MILLER, SHERRAINE (ATR-P)
Entity type:Individual
Prefix:
First Name:SHERRAINE
Middle Name:
Last Name:MILLER
Suffix:
Gender:F
Credentials:ATR-P
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1322 S WABASH AVE APT 403
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60605-2510
Mailing Address - Country:US
Mailing Address - Phone:317-728-4376
Mailing Address - Fax:
Practice Address - Street 1:7535 E HAMPDEN AVE STE 400
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80231-4844
Practice Address - Country:US
Practice Address - Phone:720-388-6320
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-05-09
Last Update Date:2024-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health