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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

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

Active Sole Proprietor

DR. KRYSTALLYNNE SHANIELLE MIKLE, PHD, LCSW, MSW, BSW is a Clinical Social Worker healthcare provider located in PORTER, Texas. NPI 1346995818 is currently active in the NPPES registry. Verify at CMS.

Clinical Social Worker · PORTER, TX

Registration Details

NPI Number
1346995818
Provider Type
Individual
Gender
Female
NPI Issued
Feb 14, 2022 (4.4729912118294 yrs)
Last Updated
Sep 26, 2023
Licenses
50664 (TX)
50664 (TX)
50664 (TX)
50664 (TX)
Sole Proprietor
Yes

Practice Information

Address
21898 FM 1314 ROAD SUITE C PMB 104
SUITE C PMB 104
PORTER, TX, 77365
Browse TX providers · Browse ZIP 77365
Phone
8325563079
Primary Specialty
Clinical Social Worker
1041C0700X
Additional Specialty
Mental Health Counselor
Additional Specialty
Professional Counselor
Additional Specialty
Social Worker
Additional Specialty
Case Management Agency

Other Clinical Social Worker Providers in PORTER, TX

Name Credential NPI
MS. ASIA MEKELL BRUMFIELD LCSW 1538636899
CHANDRE WARD LCSW 1144989732
JULIETTE M OKOLO LCSW 1255045837
MISS KRISTIN ELIZABETH MALAER LCSW-S 1598458002
LINDA OLISA 1942984794
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.