Healthcare Provider Details

I. General information

NPI: 1841756558
Provider Name (Legal Business Name): COURTNEY MILLER LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/18/2019
Last Update Date: 12/08/2025
Certification Date: 12/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

185 BURT BLVD STE B
BENTON LA
71006-4904
US

IV. Provider business mailing address

185 BURT BLVD STE B
BENTON LA
71006-4904
US

V. Phone/Fax

Practice location:
  • Phone: 985-859-4733
  • Fax:
Mailing address:
  • Phone: 318-935-5007
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number4903
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: