Provider Demographics
NPI:1386050516
Name:MILLER, STEPHANIE D (LMFT, LPC, LCDC)
Entity type:Individual
Prefix:
First Name:STEPHANIE
Middle Name:D
Last Name:MILLER
Suffix:
Gender:F
Credentials:LMFT, LPC, LCDC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12401 S POST OAK RD
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77045-2020
Mailing Address - Country:US
Mailing Address - Phone:281-552-8123
Mailing Address - Fax:281-552-8814
Practice Address - Street 1:12401 S POST OAK RD
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77045-2020
Practice Address - Country:US
Practice Address - Phone:281-552-8123
Practice Address - Fax:281-552-8814
Is Sole Proprietor?:Yes
Enumeration Date:2014-07-09
Last Update Date:2014-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX12060101YA0400X
TX69232101YP2500X
TX201860106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional