# MARTIN MILLER GROUP

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1508136219
- **Authorized official:** MR. MARTIN MILLER LIMHP, LADC (OWNER)
- **Authorized official phone:** (402) 463-5075

## Contact information

- **Practice address:** 225 N SAINT JOSEPH AVE, HASTINGS, NE 68901-7555
- **Practice address phone:** (402) 463-5075
- **Practice address fax:** (402) 463-5073
- **Mailing address:** 225 N SAINT JOSEPH AVE, HASTINGS, NE 68901-7555
- **Mailing address phone:** (402) 463-5075
- **Mailing address fax:** (402) 463-5073

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | 701 | NE | — |
| 101YM0800X | Mental Health Counselor | 1073 | NE | Yes |

## Other

- **Enumeration date:** 01/11/2012
- **Last updated:** 01/22/2015
