MEDICARE: MRS. LAUREN ASHLEY MILLER LMFT

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	106H00000X	Marriage & Family Therapist	146405	CA

General Provider Information

NPI Number	:	1083165237
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. LAUREN ASHLEY MILLER LMFT

Provider Business Mailing Address
First Line	:	14583 BIG BASIN WAY STE 2B
Second Line	:
City	:	SARATOGA
State	:	CA
Zip	:	95070-6072
Country	:	US
Telephone Number	:	408-409-5419
Fax Number	:

Provider Business Practice Location Address
First Line	:	14583 BIG BASIN WAY STE 2B
Second Line	:
City	:	SARATOGA
State	:	CA
Zip	:	95070-6072
Country	:	US
Telephone Number	:	408-409-5419
Fax Number	:

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

Provider Enumeration Date	:	10/21/2016
Last Update Date	:	05/02/2024

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