Provider Demographics
NPI:1801212535
Name:MILLER, TERRY (LPC)
Entity Type:Individual
Prefix:MR
First Name:TERRY
Middle Name:
Last Name:MILLER
Suffix:
Gender:M
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2645 LYNDHURST RD
Mailing Address - Street 2:
Mailing Address - City:WAYNESBORO
Mailing Address - State:VA
Mailing Address - Zip Code:22980-9420
Mailing Address - Country:US
Mailing Address - Phone:540-414-4476
Mailing Address - Fax:540-464-3121
Practice Address - Street 1:2645 LYNDHURST RD
Practice Address - Street 2:
Practice Address - City:WAYNESBORO
Practice Address - State:VA
Practice Address - Zip Code:22980-9420
Practice Address - Country:US
Practice Address - Phone:540-414-4476
Practice Address - Fax:540-464-3121
Is Sole Proprietor?:Yes
Enumeration Date:2014-03-05
Last Update Date:2023-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0701005148101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health