Provider Demographics
NPI:1710299029
Name:MILLER, FREYJA (LMFT)
Entity Type:Individual
Prefix:MS
First Name:FREYJA
Middle Name:
Last Name:MILLER
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:425 E 1200 S STE 5
Mailing Address - Street 2:
Mailing Address - City:HEBER CITY
Mailing Address - State:UT
Mailing Address - Zip Code:84032-3943
Mailing Address - Country:US
Mailing Address - Phone:385-207-4425
Mailing Address - Fax:888-245-4737
Practice Address - Street 1:425 E 1200 S
Practice Address - Street 2:STE. 5
Practice Address - City:HEBER CITY
Practice Address - State:UT
Practice Address - Zip Code:84032
Practice Address - Country:US
Practice Address - Phone:385-207-4425
Practice Address - Fax:888-245-4737
Is Sole Proprietor?:No
Enumeration Date:2010-07-02
Last Update Date:2018-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101YM0800X
UT8113777-3902106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health