Provider Demographics
NPI:1245673656
Name:OKOLO-MILES, SADA (LPC-S)
Entity type:Individual
Prefix:
First Name:SADA
Middle Name:
Last Name:OKOLO-MILES
Suffix:
Gender:F
Credentials:LPC-S
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5210 GREYLOG DR
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77048-1729
Mailing Address - Country:US
Mailing Address - Phone:713-256-7858
Mailing Address - Fax:713-225-5787
Practice Address - Street 1:7802 LIVINGSTON ST
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77051-1532
Practice Address - Country:US
Practice Address - Phone:713-734-8800
Practice Address - Fax:713-734-8775
Is Sole Proprietor?:Yes
Enumeration Date:2013-04-16
Last Update Date:2023-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX68363101YP2500X, 101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional