Healthcare Provider Details

I. General information

NPI: 1871657429
Provider Name (Legal Business Name): PATRICIA L MILLER MA,LSW,LPCC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/20/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3745 WHIPPLE AVE NW SUITE A
CANTON OH
44718-2933
US

IV. Provider business mailing address

3745 WHIPPLE AVE NW SUITE A
CANTON OH
44718-2933
US

V. Phone/Fax

Practice location:
  • Phone: 330-493-3313
  • Fax: 330-493-6413
Mailing address:
  • Phone: 330-493-3313
  • Fax: 330-493-6413

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberE2292
License Number StateOH
# 2
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberS0016871
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: