Carlene Miranda, LMHC
Individual provider Active NPI Mental Health Counselor · Harvest, AL
NPI 1437998366 · NPPES record last updated May 22, 2024
Key facts
- NPI
- 1437998366
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- License
- MH21542 (FL)
- Practice address
- 107 Burwell Valley LN
Harvest, AL 35749-8692 - Phone
- (561) 713-6498
- NPI assigned
- May 21, 2024
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MH21542 | FL | MD | Mental Health Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | MH21542 | FL | Yes |
Addresses
Primary practice location
107 Burwell Valley LN
Harvest, AL 35749-8692
Mailing address
107 Burwell Valley LN
Harvest, AL 35749-8692
Phone (561) 713-6498
Other providers in Harvest, AL
- Jennifer Gayle Lovell
- Allison Carol Markham
- Amelia Mauldin
- Emily Mickel
- Terrell Gene Milby
- Montessori Health LLC
- Montessori Mental Health LLC
- Jasmine Antionette Moore
- Jenna Leann Mudd
- Keisha Nance
All providers in Harvest, AL · Mental Health Counselor in Alabama
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 22, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.