Healthcare Provider Details

I. General information

NPI: 1285963736
Provider Name (Legal Business Name): YOLANDA ANNETTE MILLER LPC, DCC, NCC, CAMS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/11/2009
Last Update Date: 03/27/2026
Certification Date: 03/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1115 ELYSE LN
MABLETON GA
30126-1927
US

IV. Provider business mailing address

1115 ELYSE LN
MABLETON GA
30126-1927
US

V. Phone/Fax

Practice location:
  • Phone: 404-944-0005
  • Fax:
Mailing address:
  • Phone: 404-944-0005
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number0701010854
License Number StateVA
# 2
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number90841
License Number StateTX
# 3
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberLH61103047
License Number StateWA
# 4
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberLPC006634
License Number StateGA
# 5
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberLPC006634
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: