Provider Demographics
NPI:1851070676
Name:MILLER, CHRISTY (LPC)
Entity type:Individual
Prefix:
First Name:CHRISTY
Middle Name:
Last Name:MILLER
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1200 W WALNUT ST STE 1085
Mailing Address - Street 2:
Mailing Address - City:ROGERS
Mailing Address - State:AR
Mailing Address - Zip Code:72756-3681
Mailing Address - Country:US
Mailing Address - Phone:479-345-3651
Mailing Address - Fax:479-974-2817
Practice Address - Street 1:1200 W WALNUT ST STE 1085
Practice Address - Street 2:
Practice Address - City:ROGERS
Practice Address - State:AR
Practice Address - Zip Code:72756-3681
Practice Address - Country:US
Practice Address - Phone:479-345-3651
Practice Address - Fax:479-974-2817
Is Sole Proprietor?:Yes
Enumeration Date:2023-07-18
Last Update Date:2025-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARP2506024101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional