Healthcare Provider Details

I. General information

NPI: 1083019475
Provider Name (Legal Business Name): CYNTHIA ANN MILLER L.P.C.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/28/2014
Last Update Date: 07/13/2026
Certification Date: 07/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1007 OAKSTONE DR
MONROE NC
28110-9185
US

IV. Provider business mailing address

1007 OAKSTONE DR
MONROE NC
28110-9185
US

V. Phone/Fax

Practice location:
  • Phone: 814-323-6321
  • Fax:
Mailing address:
  • Phone: 814-323-6321
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number15302
License Number StateNC
# 2
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberPC007845
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: