Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Clyde Dwayne Miller, PSS

Individual provider Peer Specialist · NPI 1114661352

Clyde Dwayne Miller, PSS is a Peer Specialist in Louisa, Kentucky. Practices as a sole proprietor. Registered with an NPI since 2022.

In the registry since
2022
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Practice location Address checks out

125 S Main Cross St
Louisa, KY 41230-1065
Phone: (606) 638-0938
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Specialties & licences

Peer Specialist (primary) Taxonomy 175T00000X

Record details

NPI number1114661352
Entity typeIndividual (Type 1)
GenderMale
Credentials PSS
Sole proprietorYes
NPI enumeratedApril 25, 2022
Last updated in NPPESApril 25, 2022
Certification dateApril 25, 2022
Mailing address125 S Main Cross St, Louisa, KY 41230-1065

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