Organization
STILL RIVER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NATHAN MILLER LCSW (SOLE PROPRIETOR)
(207) 689-5362
Entity
Organization
Contact information
Practice address
95 PARK ST STE 201, LEWISTON, ME 04240-7282
(207) 689-5362
Mailing address
158 NEZINSCOT DR, TURNER, ME 04282-4336
(207) 689-5362
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
101YP1600X
Pastoral Counselor
—
—
101YP2500X
Professional Counselor
—
—
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
05/31/2022
Last updated
12/11/2023
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