MEDICARE: YARINIKA M. MILLER LPC

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	101Y00000X	Counselor
2	101YM0800X	Mental Health Counselor	18761	TX
3	171M00000X	Case Manager/Care Coordinator
4	101YP2500X	Professional Counselor	18761	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1750495479
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	YARINIKA M. MILLER LPC

Provider Business Mailing Address
First Line	:	1235 LAKE POINTE PKWY STE 104
Second Line	:
City	:	SUGAR LAND
State	:	TX
Zip	:	77478-4077
Country	:	US
Telephone Number	:	844-824-8775
Fax Number	:

Provider Business Practice Location Address
First Line	:	1235 LAKE POINTE PKWY STE 104
Second Line	:
City	:	SUGAR LAND
State	:	TX
Zip	:	77478-4077
Country	:	US
Telephone Number	:	844-824-8775
Fax Number	:

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

Provider Enumeration Date	:	08/19/2006
Last Update Date	:	02/24/2025

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