Provider Demographics
NPI:1649816117
Name:MILLER, SYMATRI (LPC)
Entity type:Individual
Prefix:
First Name:SYMATRI
Middle Name:
Last Name:MILLER
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:SYMATRI
Other - Middle Name:
Other - Last Name:DOSIA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LPC
Mailing Address - Street 1:18802 ATASCOCITA FOREST DR
Mailing Address - Street 2:
Mailing Address - City:HUMBLE
Mailing Address - State:TX
Mailing Address - Zip Code:77346-5106
Mailing Address - Country:US
Mailing Address - Phone:318-933-2221
Mailing Address - Fax:
Practice Address - Street 1:516 SUL ROSS ST
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77006-5031
Practice Address - Country:US
Practice Address - Phone:318-933-2212
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-11-20
Last Update Date:2019-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX79667101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health