Healthcare Provider Details

I. General information

NPI: 1831804988
Provider Name (Legal Business Name): FELICIA A MILLER MSW, LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/23/2023
Last Update Date: 02/10/2025
Certification Date: 02/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1000 VAN NUYS RD
NEW CASTLE IN
47362-9060
US

IV. Provider business mailing address

420 S 15TH ST
RICHMOND IN
47374-6407
US

V. Phone/Fax

Practice location:
  • Phone: 765-593-0111
  • Fax:
Mailing address:
  • Phone: 765-350-0399
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number33008926A
License Number StateIN
# 2
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number34011099A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: