Healthcare Provider Details

I. General information

NPI: 1639912009
Provider Name (Legal Business Name): JOSH GEORGE MILLER LLPC
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/14/2024
Last Update Date: 09/03/2026
Certification Date: 09/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2001 N LINCOLN RD
ESCANABA MI
49829-2510
US

IV. Provider business mailing address

2001 N LINCOLN RD
ESCANABA MI
49829-2510
US

V. Phone/Fax

Practice location:
  • Phone: 906-786-1672
  • Fax: 906-786-6762
Mailing address:
  • Phone: 906-786-4797
  • Fax: 906-786-6762

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number6451025286
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: