Healthcare Provider Details

I. General information

NPI: 1134368020
Provider Name (Legal Business Name): LEWIS H, MILLER LPC
Entity Type: Individual
Gender: Male
Sole Proprietor: N

Provider Other Name: LEWIS HENRY MILLER III LPC

II. Dates (important events)

Enumeration Date: 02/17/2009
Last Update Date: 06/15/2026
Certification Date: 06/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2121A BELLEVUE RD
DUBLIN GA
31021-2998
US

IV. Provider business mailing address

2121A BELLEVUE RD
DUBLIN GA
31021-2998
US

V. Phone/Fax

Practice location:
  • Phone: 478-272-1190
  • Fax: 478-274-7628
Mailing address:
  • Phone: 478-272-1190
  • Fax: 478-274-7628

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License NumberLPC005725
License Number StateGA
# 2
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberAPC001412
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: