Provider Demographics
NPI:1851987325
Name:MILLER, SOPHIA STEPHANIE LEE (LMHC)
Entity Type:Individual
Prefix:
First Name:SOPHIA
Middle Name:STEPHANIE LEE
Last Name:MILLER
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:514 E HASTINGS RD APT 46
Mailing Address - Street 2:
Mailing Address - City:SPOKANE
Mailing Address - State:WA
Mailing Address - Zip Code:99218-1952
Mailing Address - Country:US
Mailing Address - Phone:909-204-9305
Mailing Address - Fax:
Practice Address - Street 1:514 E HASTINGS RD APT 46
Practice Address - Street 2:
Practice Address - City:SPOKANE
Practice Address - State:WA
Practice Address - Zip Code:99218-1952
Practice Address - Country:US
Practice Address - Phone:909-204-9305
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-12-17
Last Update Date:2020-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALH60683615101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health