Healthcare Provider Details

I. General information

NPI: 1699607432
Provider Name (Legal Business Name): MILLER FAMILY COUNSELING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/03/2026
Last Update Date: 06/03/2026
Certification Date: 06/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1211 S MAIN ST STE 300-A&B
KELLER TX
76248-0818
US

IV. Provider business mailing address

1211 S MAIN ST STE 300-A&B
KELLER TX
76248-0818
US

V. Phone/Fax

Practice location:
  • Phone: 936-590-8774
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name: EDWIN MILLER
Title or Position: OWNER
Credential:
Phone: 936-590-8774