MEDICARE: IMANI MILLER 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	3413	MS

General Provider Information

NPI Number	:	1982545109
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	IMANI MILLER LPC

Provider Business Mailing Address
First Line	:	307 LAURIE LN
Second Line	:
City	:	JACKSON
State	:	MS
Zip	:	39212-3523
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	307 LAURIE LN
Second Line	:
City	:	JACKSON
State	:	MS
Zip	:	39212-3523
Country	:	US
Telephone Number	:	601-260-4651
Fax Number	:

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

Provider Enumeration Date	:	04/02/2026
Last Update Date	:	04/02/2026

Similar Medicare Providers

1164063764 — JENNIFER SHAFFER
Practice Location Address:

3523 JACKSON FARM RD
HOPEWELL, VA
23860-4004

Practice Phone: 804-536-5012
Practice Fax:

1497697874 — VITAL TOUCH DIRECT CARE, PLLC
Practice Location Address:

2021 ELIZABETH CHAPMAN DR
JACKSON, MS
39212-3252

Practice Phone: 601-906-9680
Practice Fax:

1730184607 — DR. AMBER DIONE WILBANKS PHARMD
Practice Location Address:

3445 TERRY RD
JACKSON, MS
39212-4956

Practice Phone: 601-992-8408
Practice Fax:

1114911765 — ANNIE HOBSON WELLNESS CENTER LLC
Practice Location Address:

2941 TERRY RD , SUITE 13
JACKSON, MS
39212-3073

Practice Phone: 601-373-6419
Practice Fax: 601-373-3257

1851339899 — CENTER FOR DIABETES FOOT CARE
Practice Location Address:

820 COOPER RD , SUITE I
JACKSON, MS
39212-4099

Practice Phone: 601-372-9575
Practice Fax: 601-376-0404

1073540654 — DURABLE MEDICAL EQUIPMENT
Practice Location Address:

820 COOPER RD , SUITE I
JACKSON, MS
39212-4099

Practice Phone: 601-372-9575
Practice Fax: 601-376-0404

Directions to “ IMANI MILLER LPC” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.