=====================================================
General NPI Number Information
=====================================================
NPI Number | 1831013192
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | THE BREAK ROOM COUNSELING CENTER, PLLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 08/07/2026
-----------------------------------------------------
Last Update Date | 08/07/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 15611 BROOKWOOD LAKE PL
-----------------------------------------------------
City | SUGAR LAND
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 77498-7143
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 347-527-3557
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 15611 BROOKWOOD LAKE PL
-----------------------------------------------------
City | SUGAR LAND
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 77498-7143
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 347-527-3557
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER
-----------------------------------------------------
Name | MICHAEL MILLER
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 347-527-3557
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 261QM0801X
-----------------------------------------------------
Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State | NULL
-----------------------------------------------------