MISS CRYSTAL DAWN MILLER
NPI 1619365608
Counselor - Mental Health in Maitland, FL
Active since December 30, 2014
About Miss Crystal Dawn Miller NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MISS CRYSTAL DAWN MILLER (NPI 1619365608) is an individual mental health provider in Maitland, Florida, licensed in Florida (IMH 12747) and active in the NPI registry since December 2014.
NPPES Registry Identity
NPI1619365608
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameMISS CRYSTAL DAWN MILLER
Location Address1681 N MAITLAND AVEMaitland, FL 32751-3319
Mailing Address1681 N Maitland AveMaitland, FL 32751-3319 · (800) 840-2528 · Fax (407) 540-9552
Phone(800) 840-2528
Fax(407) 540-9552
Sole ProprietorNo
Enumeration DateDecember 30, 2014
✔ NPI 1619365608 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in FL · IMH 12747
1681 N MAITLAND AVE, Maitland, FL 32751
Other Providers at the Same Location NPPES 8
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1619365608, enumerated as an "individual" on December 30, 2014.
The provider is located at 1681 N MAITLAND AVE MAITLAND, FL 32751 and the phone number is (800) 840-2528.
Counselor with taxonomy code 101YM0800X and a focus in Mental Health.