Organization
QUIET MINDS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICAH J MILLER LCSW (OWNER/OPERATOR)
(859) 449-5725
Entity
Organization
Contact information
Practice address
101 WIND HAVEN DR STE 202, NICHOLASVILLE, KY 40356
(859) 449-5725
(859) 277-0077
Mailing address
433 YALE DR, LEXINGTON, KY 40517-1547
(859) 449-2231
(859) 277-0077
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
253038
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1336525120
NPI
—
Enumeration date
06/25/2018
Last updated
07/17/2018
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