Individual provider · Type 1 NPI

Shantay Miller

Mental Health Counselor · Shreveport, LA

NPI number 1780044511 Active

Practice location

4609 N Market St, Ste. A
Shreveport, LA 71107-2900

Fax (318) 626-5562

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1780044511

Shantay Miller's National Provider Identifier is 1780044511, issued on Mar 7, 2016. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Shreveport, LA. The record was last updated on Mar 7, 2016.