Doctor Name: | ELYSEE VIRGINIA MILLER |
NPI Number: | 1073902151 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LPC INTERN |
License Number: | 71436 |
Business Practice Address: | 6565 West Loop S 750 Bellaire, TX - 774013500 |
Business Phone Number: | 7138399500 |
Business Fax Number: | |
Mailing Address: | 6565 West Loop S, 750 BELLAIRE |
State: | TX |
Postal Code: | 774013500 |
Phone Number: | 7138399500 |
Fax Number: | |
NPI Enumeration Date: | 01/13/2015 |
NPI Last Update Date: | 01/13/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | 71436 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |