Healthcare Provider Details

I. General information

NPI: 1770271413
Provider Name (Legal Business Name): ALICIA MILLER LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/01/2023
Last Update Date: 06/17/2026
Certification Date: 06/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

137 HAZARD AVE STE 5
ENFIELD CT
06082-5425
US

IV. Provider business mailing address

137 HAZARD AVE STE 5
ENFIELD CT
06082-5425
US

V. Phone/Fax

Practice location:
  • Phone: 860-215-2835
  • Fax:
Mailing address:
  • Phone: 860-215-2835
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number6300
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: