William Allen Miller, C.T.C

Individual provider Active NPI Pastoral Counselor · Bacliff, TX

NPI 1477801660 · NPPES record last updated Aug 21, 2012

Key facts

NPI
1477801660
Entity type
Individual (NPI type 1)
Primary specialty
Pastoral Counselor 101YP1600X
Practice address
4125 Hobbs St
Bacliff, TX 77518-2350
Phone
(832) 864-2590
NPI assigned
Aug 21, 2012
Sex
Male
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Practice roles

OrganizationSpecialtyStatusNew patients
Grace Abundant Counseling Center Pastoral Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pastoral Counselor 101YP1600X Yes

Addresses

Primary practice location

4125 Hobbs St
Bacliff, TX 77518-2350

Mailing address

4127 Hobbs Steet
Bacliff, TX 77518
Phone (832) 864-2590

Other providers in Bacliff, TX

All providers in Bacliff, TX · Pastoral Counselor in Texas

Sources for this page

Verify at the official NPI Registry.