MEDICARE: SARA 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	5412	MN

General Provider Information

NPI Number	:	1235097908
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SARA MILLER LPCC

Provider Business Mailing Address
First Line	:	1945 DAVIS CT
Second Line	:
City	:	SHAKOPEE
State	:	MN
Zip	:	55379-2916
Country	:	US
Telephone Number	:	612-616-2226
Fax Number	:

Provider Business Practice Location Address
First Line	:	102 E 2ND ST STE 110
Second Line	:
City	:	CHASKA
State	:	MN
Zip	:	55318-1906
Country	:	US
Telephone Number	:	651-365-8259
Fax Number	:

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

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

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