MEDICARE: CATHEREN MILLER LCSW

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
1	101YM0800X	Mental Health Counselor	21510	OK

General Provider Information

NPI Number	:	1265213052
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CATHEREN MILLER LCSW

Provider Business Mailing Address
First Line	:	6051 N BROOKLINE AVE STE 112
Second Line	:
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73112-4286
Country	:	US
Telephone Number	:	405-213-9811
Fax Number	:

Provider Business Practice Location Address
First Line	:	711 STANTON L YOUNG BLVD STE 520
Second Line	:
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73104-5022
Country	:	US
Telephone Number	:	405-213-9811
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/09/2023
Last Update Date	:	05/18/2026

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Directions to “ CATHEREN MILLER LCSW” Practice Location

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