Provider Demographics
NPI:1578857405
Name:STOREY, MILEYA DANYELLE (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:MILEYA
Middle Name:DANYELLE
Last Name:STOREY
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1114 THOMASVILLE RD
Mailing Address - Street 2:SUITE E5
Mailing Address - City:TALLAHASSEE
Mailing Address - State:FL
Mailing Address - Zip Code:32303-6288
Mailing Address - Country:US
Mailing Address - Phone:850-270-9686
Mailing Address - Fax:850-270-9688
Practice Address - Street 1:1114 THOMASVILLE RD
Practice Address - Street 2:SUITE E5
Practice Address - City:TALLAHASSEE
Practice Address - State:FL
Practice Address - Zip Code:32303-6288
Practice Address - Country:US
Practice Address - Phone:850-270-9686
Practice Address - Fax:850-270-9688
Is Sole Proprietor?:No
Enumeration Date:2011-06-08
Last Update Date:2011-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSW9426101Y00000X, 1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No101Y00000XBehavioral Health & Social Service ProvidersCounselor