Healthcare Provider Details

I. General information

NPI: 1396503348
Provider Name (Legal Business Name): GINA LUISA MILLER LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: GINA LUISA MILLER GINA LUISA MILLER

II. Dates (important events)

Enumeration Date: 03/13/2024
Last Update Date: 07/28/2026
Certification Date: 07/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

176 S COLDBROOK AVE
CHAMBERSBURG PA
17201-2714
US

IV. Provider business mailing address

601 MEMORY LN
YORK PA
17402-2231
US

V. Phone/Fax

Practice location:
  • Phone: 717-267-7480
  • Fax:
Mailing address:
  • Phone: 717-851-1405
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberPC016714
License Number StatePA
# 2
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberPC016714
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: