Provider Demographics
NPI:1184930125
Name:MIANO, MICHAEL A (LMHC)
Entity type:Individual
Prefix:MR
First Name:MICHAEL
Middle Name:A
Last Name:MIANO
Suffix:
Gender:M
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:247 STERLING PL
Mailing Address - Street 2:
Mailing Address - City:HIGHLAND
Mailing Address - State:NY
Mailing Address - Zip Code:12528-2022
Mailing Address - Country:US
Mailing Address - Phone:845-287-0755
Mailing Address - Fax:
Practice Address - Street 1:247 STERLING PL
Practice Address - Street 2:
Practice Address - City:HIGHLAND
Practice Address - State:NY
Practice Address - Zip Code:12528-2022
Practice Address - Country:US
Practice Address - Phone:845-287-0755
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-08-27
Last Update Date:2024-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY001053101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health