Provider Demographics
NPI:1811669856
Name:GUIDRY-MILES, ARIEL JADE (TBRI PRACTIONER)
Entity type:Individual
Prefix:
First Name:ARIEL
Middle Name:JADE
Last Name:GUIDRY-MILES
Suffix:
Gender:F
Credentials:TBRI PRACTIONER
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9033 NOEL ST
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77033-3911
Mailing Address - Country:US
Mailing Address - Phone:713-257-3501
Mailing Address - Fax:
Practice Address - Street 1:9033 NOEL ST
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77033-3911
Practice Address - Country:US
Practice Address - Phone:713-257-3501
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-09-28
Last Update Date:2021-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior TechnicianGroup - Single Specialty