Provider Demographics
NPI:1477009496
Name:MILLER, SRYRITA (LCSW-A)
Entity Type:Individual
Prefix:
First Name:SRYRITA
Middle Name:
Last Name:MILLER
Suffix:
Gender:F
Credentials:LCSW-A
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1600 E WENDOVER AVE
Mailing Address - Street 2:SUITE #L
Mailing Address - City:GREENSBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27405-6871
Mailing Address - Country:US
Mailing Address - Phone:336-547-8900
Mailing Address - Fax:
Practice Address - Street 1:1600 E WENDOVER AVE
Practice Address - Street 2:SUITE #L
Practice Address - City:GREENSBORO
Practice Address - State:NC
Practice Address - Zip Code:27405-6871
Practice Address - Country:US
Practice Address - Phone:336-547-8900
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-08-30
Last Update Date:2016-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCP0105051041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical