MEDICARE: RACHEL MILLER

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

General Provider Information

NPI Number	:	1265227847
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RACHEL MILLER

Provider Business Mailing Address
First Line	:	1772 ORLANDO CIR S
Second Line	:
City	:	JACKSONVILLE
State	:	FL
Zip	:	32207-6132
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3410 KORI RD
Second Line	:
City	:	JACKSONVILLE
State	:	FL
Zip	:	32257-5454
Country	:	US
Telephone Number	:	904-335-0865
Fax Number	:

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

Provider Enumeration Date	:	04/14/2025
Last Update Date	:	04/14/2025

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Directions to “ RACHEL MILLER ” Practice Location

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