Healthcare Provider Details

I. General information

NPI: 1033046040
Provider Name (Legal Business Name): ZOEY MILLER
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/05/2026
Last Update Date: 05/05/2026
Certification Date: 05/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

239A OLD NATIONAL RD
OLD WASHINGTON OH
43768-5000
US

IV. Provider business mailing address

PO BOX 94
OLD WASHINGTON OH
43768-0094
US

V. Phone/Fax

Practice location:
  • Phone: 740-489-5571
  • Fax: 740-489-5004
Mailing address:
  • Phone: 740-489-5571
  • Fax: 740-489-5004

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberC.2607776-TRNE
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: