Miiboso Consultants, LLC

Primary specialty

CounselorTaxonomy code 101Y00000X

Legal business name

MIIBOSO CONSULTANTS, LLC

Doing business as

The Genesiis Group

Practice address

901 W Bardin Rd Ste 202
Arlington, TX 76017-6000

Phone

(682) 323-5402

Fax

(682) 323-5402

NPI assigned

Sep 24, 2019

Last updated

Sep 24, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Charmaine Stith, LPC-SNPI 1346533098

Title

Licensed Professional Counselor

Phone

(225) 993-1535

Specialties & licenses 1

Addresses

Other names 2

• The Genesiis Group Doing business as
• Genesiis Behavioral Health Other name

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Charmaine Stith, LPC-S

  • Mental Health Counselor
  • Baker, LA
  • NPI 1346533098
  NPD Authorized official
• Angela Ringo, PLPC

  • Case Manager/Care Coordinator
  • Shreveport, LA
  • NPI 1891166872
  NPD

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

{
    "created_epoch": "1569283200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1569283200000",
    "number": "1548811292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 W BARDIN RD STE 202",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760176000",
            "telephone_number": "682-323-5402",
            "fax_number": "682-323-5402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 W BARDIN RD STE 202",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760176000",
            "telephone_number": "682-323-5402",
            "fax_number": "682-323-5402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIIBOSO CONSULTANTS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-24",
        "last_updated": "2019-09-24",
        "status": "A",
        "authorized_official_last_name": "STITH",
        "authorized_official_first_name": "CHARMAINE",
        "authorized_official_title_or_position": "LICENSED PROFESSIONAL COUNSELOR",
        "authorized_official_telephone_number": "225-993-1535",
        "authorized_official_credential": "LPC-S"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Genesiis Group",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Genesiis Behavioral Health",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Alicia Melendez Miles, RN
• Andrea Miles

• Counselor in Arlington, TX
• Providers in Arlington, TX by specialty
• Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2019; 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.