Healthcare Provider Details

I. General information

NPI: 1063004604
Provider Name (Legal Business Name): HUNTER MILLER LSW, LICDC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/05/2021
Last Update Date: 06/09/2026
Certification Date: 06/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

951 E MARKET ST
CADIZ OH
43907-9799
US

IV. Provider business mailing address

951 E MARKET ST
CADIZ OH
43907-9799
US

V. Phone/Fax

Practice location:
  • Phone: 740-942-8638
  • Fax:
Mailing address:
  • Phone: 740-942-8638
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License NumberS.2309621
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License NumberLICDC.162586
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: