Havilah Miller, MA

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

APC0009497 Issued in GA

Practice address

3459 Acworth Due West Rd NW Ste 206
Acworth, GA 30101-5821

Phone

(770) 892-6287

NPI assigned

Feb 8, 2024

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1707350400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707350400000",
    "number": "1629832845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3459 ACWORTH DUE WEST RD NW STE 206",
            "city": "ACWORTH",
            "state": "GA",
            "postal_code": "301015821",
            "telephone_number": "706-969-0420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3459 ACWORTH DUE WEST RD NW STE 206",
            "city": "ACWORTH",
            "state": "GA",
            "postal_code": "301015821",
            "telephone_number": "770-892-6287"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "HAVILAH",
        "credential": "MA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-02-08",
        "last_updated": "2024-02-08",
        "certification_date": "2023-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "GA",
            "license": "APC0009497",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samuel Arthur Mielcarski, PT
• Marisa Ann Mikals, D.C.
• Timothy Gerald Mikan
• Eric Miles
• Brandon Thomas Miller
• Tatiana Raysheen Miller, LCSW
• Lea Ann Mimbs, LAPC
• Mindspring LLC
• Mindthemilk Lactation Support LLC
• Philip S. Mitchell, LAPC

• Mental Health Counselor in Acworth, GA
• Providers in Acworth, GA by specialty
• Mental Health Counselor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.