Healthcare Provider Details

I. General information

NPI: 1457356362
Provider Name (Legal Business Name): HEATHER GENE MILLER L.C.S.W.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/16/2005
Last Update Date: 09/23/2026
Certification Date: 09/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

252 SURREY RD
WARMINSTER PA
18974-3731
US

IV. Provider business mailing address

252 SURREY RD
WARMINSTER PA
18974-3731
US

V. Phone/Fax

Practice location:
  • Phone: 215-534-7289
  • Fax:
Mailing address:
  • Phone: 215-444-9084
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberCW012861
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: