Miller, Tina

Miller, Tina is an individual health care provider with primary practice located at 105 E Jefferson Blvd Suite 700, South Bend IN 46601-1922. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Miller, Tina can be contacted via phone (574) 232-2255.

Contact Information

Primary practice address
105 E Jefferson Blvd Suite 700 South Bend IN 46601-1922
Fax: (574) 287-9377
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X

Profile Details

NPI number 1508855420
LBN Legal business name Miller, Tina
Credentials MSW
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 14th, 2005
Last updated Jul 13th, 2026 - about 3 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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