Provider Demographics
NPI:1922292119
Name:SHERI MILLER, PLLC
Entity Type:Organization
Organization Name:SHERI MILLER, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MISS
Authorized Official - First Name:SHERI
Authorized Official - Middle Name:
Authorized Official - Last Name:MILLER
Authorized Official - Suffix:
Authorized Official - Credentials:LPC, LMFT
Authorized Official - Phone:817-995-8988
Mailing Address - Street 1:1117 BEDFORD ROAD
Mailing Address - Street 2:SUITE C
Mailing Address - City:BEDFORD
Mailing Address - State:TX
Mailing Address - Zip Code:76022-6600
Mailing Address - Country:US
Mailing Address - Phone:972-318-0256
Mailing Address - Fax:972-252-9846
Practice Address - Street 1:1117 BEDFORD RD
Practice Address - Street 2:SUITE C
Practice Address - City:BEDFORD
Practice Address - State:TX
Practice Address - Zip Code:76022-6694
Practice Address - Country:US
Practice Address - Phone:972-318-0256
Practice Address - Fax:972-252-9846
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-30
Last Update Date:2007-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX10586101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty