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

Mark Ambrose Miller

Individual provider Case Manager/Care Coordinator · NPI 1518788280

Mark Ambrose Miller is a Case Manager/Care Coordinator in Maxwelton, West Virginia. Licensed in Virginia. Registered with an NPI since 2024.

Licensed in
VA
In the registry since
2024
Specialties on file
2

Practice location Address checks out

804 Industrial Park Rd
Maxwelton, WV 24957-8066
Phone: (304) 497-0500
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Case Manager/Care Coordinator (primary) Taxonomy 171M00000X
Mental Health Counselor Taxonomy 101YM0800X · Licence 0733009089 (VA)

Record details

NPI number1518788280
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedOctober 24, 2024
Last updated in NPPESOctober 31, 2024
Certification dateOctober 31, 2024
Mailing address804 Industrial Park Rd, Maxwelton, WV 24957-8066

Other providers in Maxwelton