Provider Demographics
NPI:1780252262
Name:MILLER, WILLIAM PETER (LPC, LCDC)
Entity type:Individual
Prefix:
First Name:WILLIAM
Middle Name:PETER
Last Name:MILLER
Suffix:
Gender:M
Credentials:LPC, LCDC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3306 54TH ST
Mailing Address - Street 2:
Mailing Address - City:LUBBOCK
Mailing Address - State:TX
Mailing Address - Zip Code:79413-4208
Mailing Address - Country:US
Mailing Address - Phone:806-543-9613
Mailing Address - Fax:
Practice Address - Street 1:7204 JOLIET AVE STE 5
Practice Address - Street 2:
Practice Address - City:LUBBOCK
Practice Address - State:TX
Practice Address - Zip Code:79423-1124
Practice Address - Country:US
Practice Address - Phone:806-543-9613
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-06-11
Last Update Date:2023-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX83103101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional