Provider Demographics
NPI:1699518191
Name:MILLER, VERNADETTE TRICIA (LPC-S)
Entity type:Individual
Prefix:MRS
First Name:VERNADETTE
Middle Name:TRICIA
Last Name:MILLER
Suffix:
Gender:F
Credentials:LPC-S
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3500 OAK LAWN AVE STE 580
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75219-6723
Mailing Address - Country:US
Mailing Address - Phone:214-305-2110
Mailing Address - Fax:
Practice Address - Street 1:3500 OAK LAWN AVE STE 580
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75219-6723
Practice Address - Country:US
Practice Address - Phone:214-305-2110
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-06-13
Last Update Date:2024-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX72559101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional