Provider Demographics
NPI:1962221762
Name:MILLER, REBEKAH ELIZABETH (LPC-S, LSSP)
Entity type:Individual
Prefix:MRS
First Name:REBEKAH
Middle Name:ELIZABETH
Last Name:MILLER
Suffix:
Gender:F
Credentials:LPC-S, LSSP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:509 AVENUE N
Mailing Address - Street 2:
Mailing Address - City:ABERNATHY
Mailing Address - State:TX
Mailing Address - Zip Code:79311-3675
Mailing Address - Country:US
Mailing Address - Phone:806-577-6462
Mailing Address - Fax:
Practice Address - Street 1:509 AVENUE N
Practice Address - Street 2:
Practice Address - City:ABERNATHY
Practice Address - State:TX
Practice Address - Zip Code:79311-3675
Practice Address - Country:US
Practice Address - Phone:806-577-6462
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-10-08
Last Update Date:2024-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX63620101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health