Healthcare Provider Details

I. General information

NPI: 1437072931
Provider Name (Legal Business Name): CHLOE MILLER
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/01/2026
Last Update Date: 08/01/2026
Certification Date: 08/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 GEEDING LN
TROY MO
63379-3142
US

IV. Provider business mailing address

9 SAN ANTONIO CT
MOSCOW MILLS MO
63362-0406
US

V. Phone/Fax

Practice location:
  • Phone: 917-678-4757
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number2021014945
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: