MEDICARE: LORIEL MILLER LPC

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		IL

General Provider Information

NPI Number	:	1740878164
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LORIEL MILLER LPC

Provider Business Mailing Address
First Line	:	121 SARAVANOS RD STE 2
Second Line	:
City	:	YORKVILLE
State	:	IL
Zip	:	60560-5813
Country	:	US
Telephone Number	:	630-966-4466
Fax Number	:

Provider Business Practice Location Address
First Line	:	121 SARAVANOS RD STE 2
Second Line	:
City	:	YORKVILLE
State	:	IL
Zip	:	60560-5813
Country	:	US
Telephone Number	:	630-966-4466
Fax Number	:

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

Provider Enumeration Date	:	01/03/2021
Last Update Date	:	01/10/2025

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Directions to “ LORIEL MILLER LPC” Practice Location

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