Provider Demographics
NPI:1134828015
Name:MILES, PARIS (MA, LPC)
Entity type:Individual
Prefix:
First Name:PARIS
Middle Name:
Last Name:MILES
Suffix:
Gender:F
Credentials:MA, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:624 CYPRESS BAY LN
Mailing Address - Street 2:
Mailing Address - City:PINEHURST
Mailing Address - State:TX
Mailing Address - Zip Code:77362-1962
Mailing Address - Country:US
Mailing Address - Phone:832-217-5591
Mailing Address - Fax:
Practice Address - Street 1:5107 SPRUCE FOREST DR
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77091-5022
Practice Address - Country:US
Practice Address - Phone:832-217-5591
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-02-28
Last Update Date:2023-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX85890101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health