Healthcare Provider Details

I. General information

NPI: 1972328607
Provider Name (Legal Business Name): WHITNEY MILLER LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/18/2024
Last Update Date: 02/04/2025
Certification Date: 01/31/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1789 ASLAN CT NE
ADA MI
49301-8519
US

IV. Provider business mailing address

1789 ASLAN CT NE
ADA MI
49301-8519
US

V. Phone/Fax

Practice location:
  • Phone: 616-901-6727
  • Fax:
Mailing address:
  • Phone: 616-901-6727
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name: WHITNEY MILLER
Title or Position: CLINICAL SOCIAL WORKER
Credential: LMSW
Phone: 616-901-6727