Miracle Miles Mental Health

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

MIRACLE MILES MENTAL HEALTH

Practice address

5841 Snead Rd
Richmond, VA 23224-4661

Phone

(804) 688-9777

NPI assigned

Nov 8, 2024

Organization subpart

No

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

Authorized official

Name

Tonjanika Ballard

Title

Business Consultant

Phone

(804) 441-8538

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1731024000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731024000000",
    "number": "1700600665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5841 SNEAD RD",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232244661",
            "telephone_number": "804-688-9777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5841 SNEAD RD",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232244661",
            "telephone_number": "804-688-9777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIRACLE MILES MENTAL HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-08",
        "last_updated": "2024-11-08",
        "certification_date": "2024-11-07",
        "status": "A",
        "authorized_official_last_name": "BALLARD",
        "authorized_official_first_name": "TONJANIKA",
        "authorized_official_title_or_position": "BUSINESS CONSULTANT",
        "authorized_official_telephone_number": "804-441-8538"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Sherrie Y. Mintz, LCSW
• Miracles Behavioral, Inc
• Jessica Irit Mirakov Cohen, M.D.
• Godolfino Miranda Zazueta, MD
• David M Mirkes, CRNA
• Parastu Mirmonsef, DDS

• Psychiatric/Mental Health Nurse Practitioner in Richmond, VA
• Providers in Richmond, VA by specialty
• Psychiatric/Mental Health Nurse Practitioner in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2024; 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.