Healthcare Provider Details

I. General information

NPI: 1346917259
Provider Name (Legal Business Name): BRITTANY A MILLER MA, LPC, NCC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/27/2021
Last Update Date: 06/09/2026
Certification Date: 06/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

36400 WOODWARD AVE
BLOOMFIELD MI
48304-0911
US

IV. Provider business mailing address

1702 NORTHWOOD BLVD
ROYAL OAK MI
48073-3805
US

V. Phone/Fax

Practice location:
  • Phone: 248-397-5186
  • Fax:
Mailing address:
  • Phone: 248-802-6350
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number6401226287
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: