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Contact Information

KRYSTALLYNNE S MIKLE, PHD, LCSW, MSW, BSW
21898 FM 1314 ROAD SUITE C PMB 104
SUITE C PMB 104
PORTER, TX77365
 Phone: 832-556-3079
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

1041C0700X 80 Licensed Clinical Social Worker
 

Case Management

251B00000X
 

Counselor

101Y00000X
 

Mental Health

101YM0800X
 

Professional

101YP2500X
 

Social Worker

104100000X
Indicates primary specialty

NPI Profile & details for KRYSTALLYNNE S MIKLE · (Female)

NPI # 1346995818
Status Active
Credentials PHD, LCSW, MSW, BSW
Entity Individual
Enumeration date 02/14/2022
Last updated 09/26/2023 - About 3 years ago
Sole proprietor 1 Yes
Identifiers
  • TX License # 50664
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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