Angela Miller, LCPC, LCSW
Individual provider Active NPI Mental Health Counselor · Lame Deer, MT
NPI 1306039631 · NPPES record last updated Sep 19, 2014
Key facts
- NPI
- 1306039631
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- License
- 1302 (MT)
- Practice address
- 1 Cheyenne Lane
Lame Deer, MT 59043 - Phone
- (406) 748-3395
- Fax
- (406) 494-1724
- NPI assigned
- Aug 21, 2007
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1302 | MT | MD | Speech-Language Pathologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 1302 | MT | Yes |
Addresses
Primary practice location
1 Cheyenne Lane
Lame Deer, MT 59043
Mailing address
416 Wildrye St
PO Box 996
Colstrip, MT 59323-9501
Phone (406) 748-3395
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1302 | Other | MT | STATE FO MONTANA LICENSE |
Other providers in Lame Deer, MT
- Damon Martin
- Mary Catherine McEnery
- Christie Lynn McKamey
- Kayla Sue McKinney
- Amber Rose Means
- Philip Minnick
- Marina Faith Mitchell
- Abdalla Mohamed
- Patricia Louise Naillon
- Eric J Nickisch
All providers in Lame Deer, MT · Mental Health Counselor in Montana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 19, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.