MEDICARE: BRYNNA MILLER MS, LPC, NCC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor	91966	TX

General Provider Information

NPI Number	:	1700775681
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BRYNNA MILLER MS, LPC, NCC

Provider Business Mailing Address
First Line	:	1637 CANCHOLA LN
Second Line	:
City	:	LEAGUE CITY
State	:	TX
Zip	:	77573-7131
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1637 CANCHOLA LN
Second Line	:
City	:	LEAGUE CITY
State	:	TX
Zip	:	77573-7131
Country	:	US
Telephone Number	:	346-291-3439
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/02/2025
Last Update Date	:	09/20/2025

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