Provider Demographics
NPI:1275213605
Name:MILLER, ERIN ALEXANDRIA (LPC-C)
Entity Type:Individual
Prefix:
First Name:ERIN
Middle Name:ALEXANDRIA
Last Name:MILLER
Suffix:
Gender:F
Credentials:LPC-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1421 S BOSTON AVE
Mailing Address - Street 2:
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74119-3607
Mailing Address - Country:US
Mailing Address - Phone:918-599-7999
Mailing Address - Fax:
Practice Address - Street 1:1421 S BOSTON AVE
Practice Address - Street 2:
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74119-3607
Practice Address - Country:US
Practice Address - Phone:918-599-7999
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-07-20
Last Update Date:2023-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK11585101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health