Healthcare Provider Details

I. General information

NPI: 1639927734
Provider Name (Legal Business Name): KAYTELYN MILLER MS, LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/13/2024
Last Update Date: 08/20/2026
Certification Date: 08/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2151 EMRICK BLVD STE 201
BETHLEHEM PA
18020-8039
US

IV. Provider business mailing address

2151 EMRICK BLVD STE 201
BETHLEHEM PA
18020-8039
US

V. Phone/Fax

Practice location:
  • Phone: 484-537-7515
  • Fax: 484-727-8178
Mailing address:
  • Phone: 484-537-7515
  • Fax: 484-727-8178

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberPC020809
License Number StatePA
# 2
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberAPC000055
License Number StatePA
# 3
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: