| Jeremy K Miller Therapy | |
|
3401 Glendale Ave Ste 200 Toledo OH 43614-2490 | |
| (567) 742-7117 | |
| (567) 200-8410 |
| Full Name | Jeremy K Miller Therapy |
|---|---|
| Speciality | Social Worker |
| Location | 3401 Glendale Ave Ste 200, Toledo, Ohio |
| Authorized Official Name and Position | Jeremy Keith Miller (OWNER) |
| Authorized Official Contact | 5677427117 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jeremy K Miller Therapy 3401 Glendale Ave Ste 200 Toledo OH 43614-2490 Ph: (567) 742-7117 | Jeremy K Miller Therapy 3401 Glendale Ave Ste 200 Toledo OH 43614-2490 Ph: (567) 742-7117 |
| NPI Number | 1053147470 |
|---|---|
| Provider Enumeration Date | 09/11/2024 |
| Last Update Date | 03/19/2026 |
| Certification Date | 03/19/2026 |
| Medicare PECOS PAC ID | 3072049956 |
|---|---|
| Medicare Enrollment ID | O20241216003233 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053147470 | NPI | - | NPPES |
| 0065552 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | () | Secondary |
| 101YM0800X | Counselor - Mental Health | () | Secondary |
| 1041C0700X | Social Worker - Clinical | () | Primary |
| Provider Name | Latrice Waddell |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1316375124 PECOS PAC ID: 4981839586 Enrollment ID: I20131107001192 |
| Provider Name | Jeremy Keith Miller |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1053797613 PECOS PAC ID: 9931477262 Enrollment ID: I20170609001180 |
Larry E Hamme Ph.d Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4125 Monroe St, Toledo, OH 43606 Phone: 419-472-7330 Fax: 419-472-8675 |
Thera Med LLC. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 6500 W Central Ave # D-2, Toledo, OH 43617 Phone: 419-841-2298 Fax: 419-841-7245 |
Water Blue Therapy Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3443 146th St, Toledo, OH 43611 Phone: 419-217-2122 |
Restorative Minds, LLC Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3633 Revere Dr, Toledo, OH 43612 Phone: 419-280-2467 |
Melanie S Haddox, MD, LLC Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 2639 Upton Ave, Toledo, OH 43606 Phone: 419-471-1848 Fax: 419-471-0037 |
Revitalized Behavioral Healthcare, LLC Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 5577 Airport Hwy Ste 102, Toledo, OH 43615 Phone: 419-215-5831 |