Healthcare Provider Details

I. General information

NPI: 1699299891
Provider Name (Legal Business Name): JANICE KAY MILLER LMFT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/29/2017
Last Update Date: 06/17/2026
Certification Date: 06/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

466 KUHLMAN DR
VERSAILLES KY
40383-1529
US

IV. Provider business mailing address

466 KUHLMAN DR
VERSAILLES KY
40383-1529
US

V. Phone/Fax

Practice location:
  • Phone: 559-816-6955
  • Fax:
Mailing address:
  • Phone: 559-816-6955
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License NumberT3179
License Number StateOR
# 2
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License NumberMFC125158
License Number StateCA
# 3
Primary TaxonomyN
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License NumberIMF100536
License Number StateCA
# 4
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number100536
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: