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NPI Code Detail

MEDICARE: LETHA F MILLER, INC.

MEDICARE: LETHA F MILLER, INC.
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
1251S00000XCommunity/Behavioral Health Agency

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1SW7745OTHERFLSTATE OF FL - DEPT OF HEALTH

General Provider Information

NPI Number : 1588289680
Entity Type Code : Organization
Provider Name (Legal Business Name) : LETHA F MILLER, INC.
Provider Business Mailing Address
First Line : 6408 1ST AVE S
Second Line :
City : SAINT PETERSBURG
State : FL
Zip : 33707-1302
Country : US
Telephone Number : 727-303-7854
Fax Number :
Provider Business Practice Location Address
First Line : 4244 CENTRAL AVE
Second Line :
City : SAINT PETERSBURG
State : FL
Zip : 33711-1140
Country : US
Telephone Number : 727-303-7854
Fax Number :
Authorized Official
Title or Position : OWNER
Name : LETHA FAYE MILLER
Credential : LCSW
Telephone Number : 727-303-7854
Provider Enumeration Date : 06/15/2020
Last Update Date : 01/13/2026

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Directions to “LETHA F MILLER, INC. ” Practice Location

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