Healthcare Provider Details

I. General information

NPI: 1538683040
Provider Name (Legal Business Name): ARIEL MILLER LMFT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ARIEL EADS

II. Dates (important events)

Enumeration Date: 07/27/2017
Last Update Date: 02/04/2026
Certification Date: 02/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2004 VALPARAISO ST
VALPARAISO IN
46383-3138
US

IV. Provider business mailing address

2004 VALPARAISO ST
VALPARAISO IN
46383-3138
US

V. Phone/Fax

Practice location:
  • Phone: 219-477-5646
  • Fax: 219-728-4765
Mailing address:
  • Phone: 219-477-5646
  • Fax: 219-728-4765

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number StateNULL
# 2
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number35002346A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: