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NPI Code Detail

MEDICARE: AMANDA MILLER LCSW, CACII

MEDICARE: AMANDA MILLER LCSW, CACII
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
1101YA0400XAddiction (Substance Use Disorder) CounselorACB.0008146CO
21041C0700XClinical Social WorkerCSW.09925134CO

General Provider Information

NPI Number : 1336649698
Entity Type Code : Individual
Provider Name (Legal Business Name) : AMANDA MILLER LCSW, CACII
Provider Business Mailing Address
First Line : 3801 E FLORIDA AVE STE 650
Second Line :
City : DENVER
State : CO
Zip : 80210-2562
Country : US
Telephone Number : 970-460-6013
Fax Number :
Provider Business Practice Location Address
First Line : 3801 E FLORIDA AVE STE 650
Second Line :
City : DENVER
State : CO
Zip : 80210-2562
Country : US
Telephone Number : 704-606-0139
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/13/2018
Last Update Date : 01/05/2020

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