Provider Demographics
NPI:1487392007
Name:MILLER, BRIAN K (LMSW)
Entity type:Individual
Prefix:MR
First Name:BRIAN
Middle Name:K
Last Name:MILLER
Suffix:
Gender:M
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:741 FAYETTE ST
Mailing Address - Street 2:
Mailing Address - City:CUMBERLAND
Mailing Address - State:MD
Mailing Address - Zip Code:21502-2765
Mailing Address - Country:US
Mailing Address - Phone:240-727-7773
Mailing Address - Fax:
Practice Address - Street 1:741 FAYETTE ST
Practice Address - Street 2:
Practice Address - City:CUMBERLAND
Practice Address - State:MD
Practice Address - Zip Code:21502-2765
Practice Address - Country:US
Practice Address - Phone:240-727-7773
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-05-24
Last Update Date:2022-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health