Provider Demographics
NPI:1760938781
Name:MIOLA, ROSE EMILY (MSW)
Entity Type:Individual
Prefix:
First Name:ROSE
Middle Name:EMILY
Last Name:MIOLA
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1208
Mailing Address - Street 2:
Mailing Address - City:MONTROSE
Mailing Address - State:CO
Mailing Address - Zip Code:81402-1208
Mailing Address - Country:US
Mailing Address - Phone:970-252-3200
Mailing Address - Fax:970-252-3208
Practice Address - Street 1:1175 GRAND AVE.
Practice Address - Street 2:UNIT 4
Practice Address - City:NORWOOD
Practice Address - State:CO
Practice Address - Zip Code:81423-0985
Practice Address - Country:US
Practice Address - Phone:970-327-4449
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-08-30
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CONLC0107715101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health