Healthcare Provider Details

I. General information

NPI: 1518127653
Provider Name (Legal Business Name): SUVI MILLER LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/12/2008
Last Update Date: 06/12/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

495 UINTA WAY SUITE 120
DENVER CO
80230-7110
US

IV. Provider business mailing address

PO BOX 202186
DENVER CO
80220-8186
US

V. Phone/Fax

Practice location:
  • Phone: 303-344-4100
  • Fax:
Mailing address:
  • Phone: 303-344-4100
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number991590
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: