Healthcare Provider Details

I. General information

NPI: 1346781093
Provider Name (Legal Business Name): HELAINA MARIE MILLER LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/14/2017
Last Update Date: 10/09/2026
Certification Date: 10/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

312 2ND AVE SW
JAMESTOWN ND
58401-4177
US

IV. Provider business mailing address

418 E BROADWAY AVE STE 7
BISMARCK ND
58501-4086
US

V. Phone/Fax

Practice location:
  • Phone: 701-380-5100
  • Fax: 701-248-1625
Mailing address:
  • Phone: 701-380-5100
  • Fax: 701-248-1625

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number23424
License Number StateMT
# 2
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberBBH-LCPC-LIC-50718
License Number StateMT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: