Healthcare Provider Details

I. General information

NPI: 1952920548
Provider Name (Legal Business Name): MORGAN GREER MILLER NCC, LCPC, ACLC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/13/2020
Last Update Date: 11/04/2022
Certification Date: 11/04/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

830 W CENTRAL AVE
MISSOULA MT
59801-7931
US

IV. Provider business mailing address

830 W CENTRAL AVE
MISSOULA MT
59801-7931
US

V. Phone/Fax

Practice location:
  • Phone: 406-829-9515
  • Fax:
Mailing address:
  • Phone: 406-829-9515
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License NumberBBH-ACLC-LIC-48326
License Number StateMT
# 2
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberPCLC-LIC-42831
License Number StateMT
# 3
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberLH61234676
License Number StateWA
# 4
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberBBH-LCPC-LIC-49913
License Number StateMT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: