Miller, Gene S
Miller, Gene S is an sole proprietor health care provider with primary practice located at 102 Heritage Way Ne Ste 302 , Leesburg VA 20176-4544. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Professional is his primary health care specialty. Miller, Gene S can be contacted via phone (703) 771-5100.Contact Information
Primary practice address
102 Heritage Way Ne Ste 302
Leesburg VA 20176-4544
Phone: (703) 771-5100
Fax: (703) 777-0170
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | 0701002291 | Virginia |
| Behavioral Health & Social Service Providers / Marriage & Family Therapist | 106H00000X | 0717000069 | Virginia |
Profile Details
| NPI number | 1548378383 |
|---|---|
| LBN Legal business name | Miller, Gene S |
| Credentials | LPC, LMFT |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 29th, 2006 |
| Last updated | Sep 6th, 2007 - about 19 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1548378383 | NPPES |
| Virginia | Other | 209313 | ANTHEM |
| Virginia | Other | 209314 | ANTHEM |
| Virginia | Other | 293483 | ANTHEM |
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