Provider Demographics
NPI:1306278536
Name:MILLER, TOCCARA
Entity type:Individual
Prefix:
First Name:TOCCARA
Middle Name:
Last Name:MILLER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2312 BALSAM DR APT A203
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:TX
Mailing Address - Zip Code:76006-5990
Mailing Address - Country:US
Mailing Address - Phone:832-982-3174
Mailing Address - Fax:
Practice Address - Street 1:2312 BALSAM DR APT A203
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:TX
Practice Address - Zip Code:76006-5990
Practice Address - Country:US
Practice Address - Phone:832-982-3174
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-07-30
Last Update Date:2022-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171W00000XOther Service ProvidersContractor
No101Y00000XBehavioral Health & Social Service ProvidersCounselor