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NPI Code Detail

MEDICARE: JEREMY K MILLER CONSULTING, LLC

MEDICARE: JEREMY K MILLER CONSULTING, LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YA0400XAddiction (Substance Use Disorder) Counselor
2101YM0800XMental Health Counselor
31041C0700XClinical Social Worker

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1053147470
Entity Type Code : Organization
Provider Name (Legal Business Name) : JEREMY K MILLER CONSULTING, LLC
Provider Business Mailing Address
First Line : 3401 GLENDALE AVE STE 200
Second Line :
City : TOLEDO
State : OH
Zip : 43614-2490
Country : US
Telephone Number : 567-742-7117
Fax Number : 567-200-8410
Provider Business Practice Location Address
First Line : 3401 GLENDALE AVE STE 200
Second Line :
City : TOLEDO
State : OH
Zip : 43614-2490
Country : US
Telephone Number : 567-742-7117
Fax Number : 567-200-8410
Authorized Official
Title or Position : OWNER
Name : JEREMY KEITH MILLER
Credential : LISW-S, LICDC-CS
Telephone Number : 567-742-7117
Provider Enumeration Date : 09/11/2024
Last Update Date : 03/19/2026

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Directions to “JEREMY K MILLER CONSULTING, LLC ” Practice Location

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