Mikle, Krystallynne Shanielle

Mikle, Krystallynne Shanielle is an sole proprietor health care provider with primary practice located at 21898 Fm 1314 Road Suite C Pmb 104 Suite C Pmb 104, Porter TX 77365. She recently has 6 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Social Worker, Agencies / Case Management, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Mikle, Krystallynne Shanielle can be contacted via phone (832) 556-3079.

Contact Information

Primary practice address
21898 Fm 1314 Road Suite C Pmb 104 Suite C Pmb 104 Porter TX 77365
Phone: (832) 556-3079
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X 50664 Texas
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 50664 Texas
Behavioral Health & Social Service Providers / Professional 101YP2500X 50664 Texas
Behavioral Health & Social Service Providers / Social Worker 104100000X 50664 Texas
Agencies / Case Management 251B00000X
Behavioral Health & Social Service Providers / Clinical 1041C0700X 50664 Texas

Profile Details

NPI number 1346995818
LBN Legal business name Mikle, Krystallynne Shanielle
Credentials PHD, LCSW, MSW, BSW
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 14th, 2022
Last updated Sep 26th, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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