MEDICARE: BIONCA TAYLOR-MILLER MA, LPC

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	6401018841	MI
2	101YM0800X	Mental Health Counselor	CTB-2025-0899	NM
3	101YM0800X	Mental Health Counselor	6401016940	MI

General Provider Information

NPI Number	:	1396250270
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BIONCA TAYLOR-MILLER MA, LPC

Provider Business Mailing Address
First Line	:	8300 WYOMING BLVD NE APT 1921
Second Line	:
City	:	ALBUQUERQUE
State	:	NM
Zip	:	87113-2170
Country	:	US
Telephone Number	:	313-365-0975
Fax Number	:

Provider Business Practice Location Address
First Line	:	2600 MARBLE AVE NE
Second Line	:
City	:	ALBUQUERQUE
State	:	NM
Zip	:	87106-2058
Country	:	US
Telephone Number	:	505-272-2800
Fax Number	:

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

Provider Enumeration Date	:	12/13/2017
Last Update Date	:	01/13/2026

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