MEDICARE: ROBERT JOSEPH MILLER LPC, 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	101YP2500X	Professional Counselor	165	LA
2	106H00000X	Marriage & Family Therapist	161	LA

General Provider Information

NPI Number	:	1154564029
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ROBERT JOSEPH MILLER LPC, LMFT

Provider Business Mailing Address
First Line	:	PO BOX 6744
Second Line	:
City	:	NEW ORLEANS
State	:	LA
Zip	:	70174-6744
Country	:	US
Telephone Number	:	504-309-7844
Fax Number	:

Provider Business Practice Location Address
First Line	:	3516 METAIRIE HEIGHTS AVE
Second Line	:
City	:	METAIRIE
State	:	LA
Zip	:	70002-1948
Country	:	US
Telephone Number	:	504-512-1238
Fax Number	:

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

Provider Enumeration Date	:	04/08/2009
Last Update Date	:	04/08/2009

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