Provider Demographics
NPI:1063996759
Name:MILETA, SNJEZANA (LMHC)
Entity type:Individual
Prefix:
First Name:SNJEZANA
Middle Name:
Last Name:MILETA
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:MRS
Other - First Name:SNJEZANA
Other - Middle Name:
Other - Last Name:MILETA
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LMHC
Mailing Address - Street 1:1723 NATURE CT
Mailing Address - Street 2:
Mailing Address - City:PALM BEACH GARDENS
Mailing Address - State:FL
Mailing Address - Zip Code:33410-1296
Mailing Address - Country:US
Mailing Address - Phone:561-530-8002
Mailing Address - Fax:
Practice Address - Street 1:2051 45TH ST STE 300
Practice Address - Street 2:
Practice Address - City:WEST PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33407-2031
Practice Address - Country:US
Practice Address - Phone:561-642-1000
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-09-19
Last Update Date:2022-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101YM0800X
FLMH21450101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLIMH17494OtherTRAINING LICENSE