person
Illayna Miller, LPC
Professional Counselor in Fort Worth, Texas
NPI 1053741447

Illayna Miller is a Professional Counselor based in Fort Worth, TX and is specialized in Professional. Illayna Miller practices in Fort Worth, TX and has the professional credentials of LPC. The NPI Number for Illayna Miller is 1053741447 and holds a License No. (Texas).

The current practice location address for Illayna Miller is 1300 Circle Dr, Fort Worth, TX and can be reached out via phone at 817-569-5684.

Location: 1300 Circle Dr, Fort Worth, TX, 76119-8113
person
Provider Profile Details
NPI Number
1053741447
Provider Name
Illayna Miller
Credential
LPC
Provider Entity Type
Individual
Gender
Female
Address
1300 Circle Dr, Fort Worth, TX, 76119-8113
Phone Number
817-569-5684
Fax Number
Provider Enumeration Date
11/21/2013
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
329056102 01 TX MEDICAID CSHCN
329056101 05 TX
827LPE 01 TX BLUE CROSS BLUE SHIELD
institution
Provider Business Practice Location Address Details
Address
1300 Circle Dr
City
State
Zip
76119-8113
Phone Number
817-569-5684
Fax Number
person
Provider Business Mailing Address Details
Address
1300 Circle Dr
City
State
Zip
76119-8113
Phone Number
817-569-5684
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
()
Definition
Definition to come...
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