Organization Active NPI

Miracal'S Place LLC

  • Emotionally Disturbed Childrens' Residential Treatment Facility
  • Houston, TX
National Provider Identifier
1235061102
Registry record updated Jun 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emotionally Disturbed Childrens' Residential Treatment FacilityTaxonomy code 322D00000X
Legal business name
MIRACAL'S PLACE LLC
Practice address
11960 Braes Park Dr
Houston, TX 77071-3278
Phone
(713) 771-1751
Fax
(713) 771-1751
NPI assigned
Jun 2, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Nichole Anjanette Scott, LCCA
Title
Ceo
Phone
(713) 771-1751

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emotionally Disturbed Childrens' Residential Treatment Facility 322D00000X Primary

Addresses

Primary practice location

11960 Braes Park Dr
Houston, TX 77071-3278

Mailing address

10742 Kingston Spring Dr
Missouri City, TX 77459-5566
Phone (713) 771-1751

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1780358400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1780358400000",
    "number": "1235061102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10742 KINGSTON SPRING DR",
            "city": "MISSOURI CITY",
            "state": "TX",
            "postal_code": "774595566",
            "telephone_number": "713-771-1751",
            "fax_number": "713-771-1751"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11960 BRAES PARK DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770713278",
            "telephone_number": "713-771-1751",
            "fax_number": "713-771-1751"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIRACAL'S PLACE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-06-02",
        "last_updated": "2026-06-02",
        "certification_date": "2026-06-02",
        "status": "A",
        "authorized_official_last_name": "SCOTT",
        "authorized_official_first_name": "NICHOLE",
        "authorized_official_middle_name": "ANJANETTE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "713-771-1751",
        "authorized_official_credential": "LCCA"
    },
    "taxonomies": [
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.