National Provider Identifier

Shelley L. Miller, MS

Shelley L. Miller, MS is listed in the NPPES registry with a primary specialty of Mental Health Counselor in Cheektowaga, NY and a listed phone number of (716) 895-6700.

NPI 1407967078Cheektowaga, NYMental Health Counselor

Profile Overview

NPI
1407967078
Provider Type
Individual
Primary Specialty
Mental Health Counselor
Enumeration Date
August 31, 2006
Last Updated
February 23, 2021

Practice Location

  • 1526 Walden Ave Ste 400
  • Cheektowaga, NY 14225-4985

Phone: (716) 895-6700

Mailing Address

  • 1526 Walden Ave
  • Buffalo, NY 14225-4965

Specialties

  • Mental Health Counselor (101YM0800X)
  • Counselor (101Y00000X)
Full Record
NPI
1407967078
Entity Type
Individual
Last Name
Miller
First Name
Shelley
Middle Name
L.
Name Prefix
MS.
Credential
MS
Provider Other Last Name
Miller
Provider Other First Name
Shelley
Provider Other Middle Name
Lynn
Provider Other Name Prefix Text
Mrs.
Provider Other Credential Text
LMHC
Provider Other Last Name Type Code
2
Mailing Street Address
1526 Walden Ave
Mailing City
Buffalo
Mailing State
NY
Mailing ZIP Code
14225-4965
Mailing Country
US
Mailing Phone
(716) 895-6702
Practice Street Address
1526 Walden Ave Ste 400
Practice City
Cheektowaga
Practice State
NY
Practice ZIP Code
14225-4985
Practice Country
US
Practice Phone
(716) 895-6700
Practice Fax
(716) 895-0436
Enumeration Date
August 31, 2006
Last Updated
February 23, 2021
Sex
Female
Sole Proprietor
No
Certification Date
February 23, 2021
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Mental Health Counselor (101YM0800X), Counselor (101Y00000X)
Other Identifiers
00030241501 (NY, Univera), 000506354003 (NY, Community Blue)