Healthcare Provider Details

I. General information

NPI: 1780598870
Provider Name (Legal Business Name): MILLER BEHAVIORAL CONSULTING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/28/2026
Last Update Date: 09/28/2026
Certification Date: 09/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1525 PAULINE BLVD
ANN ARBOR MI
48103-5228
US

IV. Provider business mailing address

1525 PAULINE BLVD
ANN ARBOR MI
48103-5228
US

V. Phone/Fax

Practice location:
  • Phone: 734-474-2964
  • Fax: 734-780-7132
Mailing address:
  • Phone: 734-474-2964
  • Fax: 734-780-7132

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number StateNULL

VIII. Authorized Official

Name: CARRIE MILLER
Title or Position: OWNER
Credential: LMSW, LBA, BCBA
Phone: 734-747-2964