Provider Demographics
NPI:1972525731
Name:MILLER, NANCY REGINA FRANCES (LPC, LMFT)
Entity type:Individual
Prefix:MS
First Name:NANCY
Middle Name:REGINA FRANCES
Last Name:MILLER
Suffix:
Gender:F
Credentials:LPC, LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8420 DORSEY CIR
Mailing Address - Street 2:SUITE 102
Mailing Address - City:MANASSAS
Mailing Address - State:VA
Mailing Address - Zip Code:20110-8300
Mailing Address - Country:US
Mailing Address - Phone:703-365-2144
Mailing Address - Fax:703-365-9006
Practice Address - Street 1:8420 DORSEY CIR
Practice Address - Street 2:SUITE 102
Practice Address - City:MANASSAS
Practice Address - State:VA
Practice Address - Zip Code:20110-8300
Practice Address - Country:US
Practice Address - Phone:703-365-2144
Practice Address - Fax:703-365-9006
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-24
Last Update Date:2009-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0701002693101YP2500X
VA0717000836106H00000X
VA09-516310101YS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No101YS0200XBehavioral Health & Social Service ProvidersCounselorSchool
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA11609342OtherCAQH