JOHNNY MILLER
NPI 1710607288
Counselor - Mental Health in Bay St Louis, MS
Active since September 02, 2022
About Johnny Miller NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JOHNNY MILLER (NPI 1710607288) is an individual mental health provider in Bay St Louis, Mississippi, licensed in Mississippi (3626) and active in the NPI registry since September 2022.
NPPES Registry Identity
NPI1710607288
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameJOHNNY MILLER
Location Address819B CENTRAL AVEBay St Louis, MS 39520-3913
Mailing AddressPo Box 18679Hattiesburg, MS 39404-8679 · (601) 705-1901 · Fax (601) 705-1952
Phone(228) 220-5454
Fax(228) 467-8521
Sole ProprietorNo
Enumeration DateSeptember 2, 2022
NPPES CertifiedSeptember 2, 2022
✔ NPI 1710607288 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 MS · 3626
819B CENTRAL AVE, Bay St Louis, MS 39520
Other Providers at the Same Location NPPES 9
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
819B CENTRAL AVE
BAY ST LOUIS, MS 39520
BAY ST LOUIS, MS 39520
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1710607288, enumerated as an "individual" on September 02, 2022.
The provider is located at 819B CENTRAL AVE BAY ST LOUIS, MS 39520 and the phone number is (228) 220-5454.
Counselor with taxonomy code 101YM0800X and a focus in Mental Health.