Provider / Organization | NPI | Date Certified |
---|---|---|
SHANIQUA MILES | 1710596804 | 2020-07-24 |
Shaniqua Miles is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1710596804. Registration indicates Shaniqua Miles is a provider of access to mental health/behavioral health providers services with a specialization in Behavioral Health & Social Service Providers, Social Worker (Behavioral Health & Social Service Providers, Social Worker) (Social Worker: Clinical, ) (Behavioral Health/Substance Abuse/Psychiatry, ) (Social Worker Clinical, Behavioral Health & Social Service Providers) (Social Worker, ) Access to Mental Health/Behavioral Health Providers (Behavioral Health & Social Service Providers, Social Worker) (Behavioral Health & Social Service Providers, Social Worker) (Social Worker: Clinical, ) (Behavioral Health/Substance Abuse/Psychiatry, ) (Social Worker Clinical, Behavioral Health & Social Service Providers) (Social Worker, )
Registration | PART-B:Y DME:Y HHA:N PMD:N |
Entity Type | Individual |
Provider Name | Shaniqua Miles LCSW |
Practice Office Address | 19500 ST HWY 249 STE 120 HOUSTON, TX US |
Practice Office Telephone | 8448248775 |
Practice Office Fax | 2816482200 |
Mailing Address | 13934 S STATE ST RIVERDALE, IL 608272018 US |
Business Telephone | 7736915306 |
Address | City / State | Phone / Fax |
---|---|---|
13934 S State St | Riverdale, IL 608272018 | 7736915306 |
Email [Other] | [email protected] | Direct |
Code | Practice | License No State |
---|---|---|
1041C0700X | Access to Mental Health/Behavioral Health Providers Behavioral Health & Social Service Providers Social Worker Behavioral Health & Social Service Providers Social Worker Social Worker: Clinical Behavioral Health/Substance Abuse/Psychiatry Social Worker Clinical Behavioral Health & Social Service Providers Social Worker | |
1041C0700X PRIMARY | Access to Mental Health/Behavioral Health Providers Behavioral Health & Social Service Providers Social Worker Behavioral Health & Social Service Providers Social Worker Social Worker: Clinical Behavioral Health/Substance Abuse/Psychiatry Social Worker Clinical Behavioral Health & Social Service Providers Social Worker | 106734
TX |