Healthcare Provider Details

I. General information

NPI: 1316650773
Provider Name (Legal Business Name): BRITTANY ERIN MILLER MHC
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

Provider Other Name: BRITTANY ERIN RIPLEY

II. Dates (important events)

Enumeration Date: 01/02/2023
Last Update Date: 06/01/2026
Certification Date: 06/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

138 E 2ND ST
OSWEGO NY
13126-2625
US

IV. Provider business mailing address

PO BOX 207
WATERTOWN NY
13601-0207
US

V. Phone/Fax

Practice location:
  • Phone: 315-343-3344
  • Fax:
Mailing address:
  • Phone: 315-592-1610
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: