Provider Demographics
NPI:1932576733
Name:MILEY, ERIKA (MED, LMHC)
Entity Type:Individual
Prefix:
First Name:ERIKA
Middle Name:
Last Name:MILEY
Suffix:
Gender:F
Credentials:MED, LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7901 4TH ST N STE 7148
Mailing Address - Street 2:
Mailing Address - City:SAINT PETERSBURG
Mailing Address - State:FL
Mailing Address - Zip Code:33702-4305
Mailing Address - Country:US
Mailing Address - Phone:941-444-0570
Mailing Address - Fax:941-444-0570
Practice Address - Street 1:7901 4TH ST N STE 7148
Practice Address - Street 2:
Practice Address - City:SAINT PETERSBURG
Practice Address - State:FL
Practice Address - Zip Code:33702-4305
Practice Address - Country:US
Practice Address - Phone:941-444-0570
Practice Address - Fax:941-444-0570
Is Sole Proprietor?:No
Enumeration Date:2015-08-27
Last Update Date:2022-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALH60609471101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health