Vickie C Miller, L.P.C.L.M.F.T.,L.A.C

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

974 Issued in LA

Practice address

3018 Old Minden Rd Ste 1205
Bossier City, LA 71112-2446

Phone

(318) 746-5636

Fax

(318) 746-5636

NPI assigned

Jun 3, 2007

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1180828800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1554854400000",
    "number": "1922200815",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3025 LONE OAK DR",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711182453",
            "telephone_number": "318-347-2221",
            "fax_number": "318-861-2162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3018 OLD MINDEN RD STE 1205",
            "city": "BOSSIER CITY",
            "state": "LA",
            "postal_code": "711122446",
            "telephone_number": "318-746-5636",
            "fax_number": "318-746-5636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "VICKIE",
        "middle_name": "C",
        "name_prefix": "Mrs.",
        "credential": "L.P.C.L.M.F.T.,L.A.C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-06-03",
        "last_updated": "2019-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "TX",
            "license": "18524",
            "primary": false
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "LA",
            "license": "2642",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "LA",
            "license": "304",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "LA",
            "license": "974",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Collin Terrez Miller, DDS
• Jacquelyn Burge Miller, FNP
• Joey Miller
• Ramondria Miller
• Shankeshia Miller
• Jason K Milligan, M.D.
• Lauren Milner, MD
• Sara Ashley Minard, M.S., CCC-SLP
• Mind & Body Wellness Center, LLC
• Mind Rehabilitation & Resource Center

• Addiction (Substance Use Disorder) Counselor in Bossier City, LA
• Providers in Bossier City, LA by specialty
• Addiction (Substance Use Disorder) Counselor in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.