Healthcare Provider Details

I. General information

NPI: 1558483537
Provider Name (Legal Business Name): VICTORIA SUZANNE MILLER
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/03/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

621 W 96TH AVE
THORNTON CO
80260-5469
US

IV. Provider business mailing address

6220 YUKON ST
ARVADA CO
80004-3457
US

V. Phone/Fax

Practice location:
  • Phone: 303-427-1386
  • Fax:
Mailing address:
  • Phone: 303-456-7484
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: