Provider Demographics
NPI:1942545702
Name:MILLER, SARAH JANE (LMFTA)
Entity Type:Individual
Prefix:MS
First Name:SARAH
Middle Name:JANE
Last Name:MILLER
Suffix:
Gender:F
Credentials:LMFTA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:28303 HAVERS DR
Mailing Address - Street 2:
Mailing Address - City:CARY
Mailing Address - State:NC
Mailing Address - Zip Code:27518-6945
Mailing Address - Country:US
Mailing Address - Phone:919-896-8571
Mailing Address - Fax:
Practice Address - Street 1:1037 BULLARD CT STE 208
Practice Address - Street 2:
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27615-6872
Practice Address - Country:US
Practice Address - Phone:919-876-4953
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-12-05
Last Update Date:2012-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC7047A106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist