MEDICARE: MICHAEL A MILLER LPCC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor	E.2404523	OH

General Provider Information

NPI Number	:	1023657160
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MICHAEL A MILLER LPCC

Provider Business Mailing Address
First Line	:	12429 CEDAR RD STE 9
Second Line	:
City	:	CLEVELAND HEIGHTS
State	:	OH
Zip	:	44106-3185
Country	:	US
Telephone Number	:	216-505-0106
Fax Number	:	216-504-9669

Provider Business Practice Location Address
First Line	:	12429 CEDAR RD STE 9
Second Line	:
City	:	CLEVELAND HEIGHTS
State	:	OH
Zip	:	44106-3185
Country	:	US
Telephone Number	:	216-505-0106
Fax Number	:	216-504-9669

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/06/2020
Last Update Date	:	01/12/2026

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