Provider Demographics
NPI:1134741200
Name:KOLNI, MIRIAM (LMFT)
Entity type:Individual
Prefix:
First Name:MIRIAM
Middle Name:
Last Name:KOLNI
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16135 PRESTON RD STE 134
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75248-8536
Mailing Address - Country:US
Mailing Address - Phone:972-265-9025
Mailing Address - Fax:
Practice Address - Street 1:16135 PRESTON RD STE 134
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75248-8536
Practice Address - Country:US
Practice Address - Phone:972-265-9025
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-05-12
Last Update Date:2022-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX203258106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Multi-Specialty