Provider Demographics
NPI:1346064417
Name:RANADE, MIRIELLE CAILLES (MHC-LP)
Entity type:Individual
Prefix:
First Name:MIRIELLE
Middle Name:CAILLES
Last Name:RANADE
Suffix:
Gender:F
Credentials:MHC-LP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:459 CAROL PL
Mailing Address - Street 2:
Mailing Address - City:PELHAM
Mailing Address - State:NY
Mailing Address - Zip Code:10803-2111
Mailing Address - Country:US
Mailing Address - Phone:914-229-8769
Mailing Address - Fax:
Practice Address - Street 1:629 FIFTH AVE STE 201
Practice Address - Street 2:
Practice Address - City:PELHAM
Practice Address - State:NY
Practice Address - Zip Code:10803-3715
Practice Address - Country:US
Practice Address - Phone:914-368-2995
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-11-14
Last Update Date:2024-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health