NPI Index

DR. KRYSTALLYNNE MIKLE, PHD, LCSW, MSW, BSW

Social Worker - Clinical

Active Individual
NPI: 1346995818

Practice Address

21898 FM 1314 ROAD SUITE C PMB 104
SUITE C PMB 104
Porter, TX 77365

Phone: (832) 556-3079

Specialties

Specialty Code Primary License
Counselor 101Y00000X No 50664 (TX)
Counselor - Mental Health 101YM0800X No 50664 (TX)
Counselor - Professional 101YP2500X No 50664 (TX)
Social Worker 104100000X No 50664 (TX)
Case Management 251B00000X No -
Social Worker - Clinical 1041C0700X Yes 50664 (TX)

Frequently Asked Questions

NPI 1346995818 is the National Provider Identifier for DR. KRYSTALLYNNE MIKLE, PHD, LCSW, MSW, BSW, a Social Worker - Clinical provider located in Porter, TX. This NPI was enumerated on February 14, 2022.
DR. KRYSTALLYNNE MIKLE, PHD, LCSW, MSW, BSW practices at 21898 FM 1314 ROAD SUITE C PMB 104, SUITE C PMB 104, Porter, TX 77365.

Quick Facts

NPI
1346995818
Type
Individual
Enumerated
Feb 14, 2022
Last Updated
Sep 26, 2023

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