Provider Demographics
NPI:1568090033
Name:MILLER, LAUREN (LCSW)
Entity Type:Individual
Prefix:
First Name:LAUREN
Middle Name:
Last Name:MILLER
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8026 GARRISON POINT DR
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77040-1473
Mailing Address - Country:US
Mailing Address - Phone:909-441-0435
Mailing Address - Fax:
Practice Address - Street 1:8026 GARRISON POINT DR
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77040-1473
Practice Address - Country:US
Practice Address - Phone:909-441-0435
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-03-31
Last Update Date:2020-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA822671041C0700X
TX676081041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
CALCSW82267OtherCA DEPT OF CONSUMER AFFAIRS BOARD OF BEHAVIORAL SCIENCES
TX67608OtherTEXAS STATE BOARD OF SOCIAL WORK EXAMINERS