Healthcare Provider Details

I. General information

NPI: 1063332864
Provider Name (Legal Business Name): HAYLEY MILLER
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/20/2026
Last Update Date: 07/20/2026
Certification Date: 07/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

48 N TUCSON BLVD STE 100
TUCSON AZ
85716-4756
US

IV. Provider business mailing address

2573 E ALTA VISTA ST
TUCSON AZ
85716-2101
US

V. Phone/Fax

Practice location:
  • Phone: 520-369-3662
  • Fax:
Mailing address:
  • Phone: 520-481-7440
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberLPC-24344
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: