Healthcare Provider Details

I. General information

NPI: 1861833733
Provider Name (Legal Business Name): AMANDA WHATLEY MILLER MA, LPC-SA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: AMANDA W. POWER MA, LPC-S

II. Dates (important events)

Enumeration Date: 07/08/2013
Last Update Date: 05/01/2024
Certification Date: 05/01/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1900 N 18TH ST STE 412
MONROE LA
71201-4419
US

IV. Provider business mailing address

77 HIGHWAY 135
RAYVILLE LA
71269-5556
US

V. Phone/Fax

Practice location:
  • Phone: 318-235-4798
  • Fax:
Mailing address:
  • Phone: 318-235-4798
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number4845
License Number StateLA
# 2
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number4845
License Number StateLA
# 3
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number4845
License Number StateLA
# 4
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number4845
License Number StateLA
# 5
Primary TaxonomyN
Taxonomy Code101YS0200X
TaxonomySchool Counselor
License Number4845
License Number StateLA
# 6
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number4845
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: