Healthcare Provider Details

I. General information

NPI: 1699696112
Provider Name (Legal Business Name): NABRIYA TANIYA MILLER
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/22/2026
Last Update Date: 07/22/2026
Certification Date: 07/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2611 HOSPITAL RD
GOLDSBORO NC
27534-9424
US

IV. Provider business mailing address

2611 HOSPITAL RD
GOLDSBORO NC
27534-9424
US

V. Phone/Fax

Practice location:
  • Phone: 919-583-9329
  • Fax: 919-583-9328
Mailing address:
  • Phone: 919-583-9329
  • Fax: 919-583-9328

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License NumberCADC-32963
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: