Miller, Samantha Jo

Miller, Samantha Jo is an sole proprietor health care provider with primary practice located at 7485 Mackenzie Ave Ne , Elk River MN 55330-5054. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder). Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Miller, Samantha Jo can be contacted via phone (701) 645-7456.

Contact Information

Primary practice address
7485 Mackenzie Ave Ne Elk River MN 55330-5054
Phone: (701) 645-7456
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 30475 Minnesota
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 1943 North Dakota
Behavioral Health & Social Service Providers / Clinical 1041C0700X 6345 North Dakota
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 305065 Minnesota

Profile Details

NPI number 1588155816
LBN Legal business name Miller, Samantha Jo
Credentials LICSW, LCSW, LAC
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 22nd, 2018
Last updated Aug 30th, 2026 - about 2 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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