Miller, Jeremy Keith

Miller, Jeremy Keith is an individual health care provider with primary practice located at 3401 Glendale Ave Ste 200 , Toledo OH 43614-2490. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Miller, Jeremy Keith can be contacted via phone (567) 742-7117.

Contact Information

Primary practice address
3401 Glendale Ave Ste 200 Toledo OH 43614-2490
Phone: (567) 742-7117
Fax: (567) 200-8410
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X LICDC.161437 Ohio
Behavioral Health & Social Service Providers / Clinical 1041C0700X I.1700237-SUPV Ohio

Profile Details

NPI number 1053797613
LBN Legal business name Miller, Jeremy Keith
Credentials MSW, LISW-S,LICDC-CS
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 6th, 2015
Last updated Apr 29th, 2026 - about 6 months 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1053797613 NPPES
Ohio MEDICAID 0231357

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