Healthcare Provider Details

I. General information

NPI: 1982174033
Provider Name (Legal Business Name): TANYA L MILLER LICSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: TANYA LATRICE FRANKLIN LICSW

II. Dates (important events)

Enumeration Date: 12/03/2018
Last Update Date: 05/13/2026
Certification Date: 05/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

PO BOX 603
SPANAWAY WA
98387-0603
US

IV. Provider business mailing address

PO BOX 603
SPANAWAY WA
98387-0603
US

V. Phone/Fax

Practice location:
  • Phone: 253-459-0673
  • Fax:
Mailing address:
  • Phone: 253-459-0673
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberSWI.LW.61487112
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: