IndividualActive
Timothy Miller, LSW, LICDC-S
NPI 1528694643 · Addiction Medicine (Psychiatry & Neurology) Physician · Columbus, OH
Provider details
- NPI number
- 1528694643
- Entity type
- Individual
- Primary specialty
- Addiction Medicine (Psychiatry & Neurology) PhysicianAllopathic & Osteopathic Physicians
- Credential
- LSW, LICDC-S
- Sex
- Male
- Sole proprietor
- Yes
- License
- 001104 (OH)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
1441 Phale D. Hale Dr.
Columbus, OH 43203
Phone: (614) 257-3754
Approximate (ZIP-level) locationGet directions
Mailing address
11122 Gorsuch Rd
Galena, OH 43021-9633
Registry dates
- Enumerated
- 2020-03-20
- Last updated
- 2022-07-21
- Certified
- 2020-03-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.