| Miller Therapeutic Services Llc | |
|
2131 Defense Hwy Ste 2 Crofton MD 21114-2421 | |
| (443) 302-2191 | |
| Not Available |
| Full Name | Miller Therapeutic Services Llc |
|---|---|
| Speciality | Social Worker |
| Location | 2131 Defense Hwy Ste 2, Crofton, Maryland |
| Authorized Official Name and Position | Ashley Marie Miller (OWNER/OPERATOR) |
| Authorized Official Contact | 4436109786 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Miller Therapeutic Services Llc 2131 Defense Hwy Ste 2 Crofton MD 21114-2421 Ph: (443) 302-2191 | Miller Therapeutic Services Llc 2131 Defense Hwy Ste 2 Crofton MD 21114-2421 Ph: (443) 302-2191 |
| NPI Number | 1750059283 |
|---|---|
| Provider Enumeration Date | 08/31/2021 |
| Last Update Date | 08/31/2021 |
| Certification Date | 08/31/2021 |
| Medicare PECOS PAC ID | 1456729748 |
|---|---|
| Medicare Enrollment ID | O20221117000481 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750059283 | NPI | - | NPPES |
| 75300049 | Other | MD | BCBS |
| 69032 | Other | MD | JHH |
| E599169 | Medicaid | MD | |
| 69032 | Other | MD | OPTUM |
| 3663834 | Other | MD | CIGNA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Ashley Marie Miller |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1558795609 PECOS PAC ID: 5496038325 Enrollment ID: I20170220000852 |
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