Provider Demographics
NPI:1356228837
Name:MILLER, ROBERT COLLIS III (LPC)
Entity type:Individual
Prefix:MR
First Name:ROBERT
Middle Name:COLLIS
Last Name:MILLER
Suffix:III
Gender:M
Credentials:LPC
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Mailing Address - Street 1:1412 W WALTON AVE
Mailing Address - Street 2:
Mailing Address - City:COOLIDGE
Mailing Address - State:AZ
Mailing Address - Zip Code:85128-6721
Mailing Address - Country:US
Mailing Address - Phone:520-858-3375
Mailing Address - Fax:520-836-6733
Practice Address - Street 1:1901 N TREKELL RD
Practice Address - Street 2:
Practice Address - City:CASA GRANDE
Practice Address - State:AZ
Practice Address - Zip Code:85122-1770
Practice Address - Country:US
Practice Address - Phone:520-858-3375
Practice Address - Fax:520-836-6733
Is Sole Proprietor?:No
Enumeration Date:2025-08-18
Last Update Date:2025-08-18
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
AZLPC-24156101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional