Healthcare Provider Details

I. General information

NPI: 1063262020
Provider Name (Legal Business Name): MONICA MILLER MS, LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/25/2024
Last Update Date: 11/22/2024
Certification Date: 11/22/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7300 ELDORADO PKWY STE 270
MCKINNEY TX
75070-3590
US

IV. Provider business mailing address

7300 ELDORADO PKWY STE 270
MCKINNEY TX
75070-3590
US

V. Phone/Fax

Practice location:
  • Phone: 469-712-5481
  • Fax:
Mailing address:
  • Phone: 469-712-5481
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number92584
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: