Individual
MRS. ELYSE AMY MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCAT
Contact information
Practice address
1000 PARK BLVD UNIT F, MASSAPEQUA PARK, NY 11762-2740
(516) 984-2712
Mailing address
22 WAGON LN, LEVITTOWN, NY 11756-4112
(516) 735-8891
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
000021
NY
221700000X
Art Therapist
Primary
000021-1
NY
Other
Enumeration date
11/13/2006
Last updated
09/11/2025
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