Provider Demographics
NPI:1982370409
Name:CAIRNES, MIQUELLE (LPC)
Entity type:Individual
Prefix:
First Name:MIQUELLE
Middle Name:
Last Name:CAIRNES
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1613 COUNTRY CLUB BLVD
Mailing Address - Street 2:
Mailing Address - City:SUGAR LAND
Mailing Address - State:TX
Mailing Address - Zip Code:77478-3903
Mailing Address - Country:US
Mailing Address - Phone:713-444-5077
Mailing Address - Fax:
Practice Address - Street 1:30 SANCTUARY TRL
Practice Address - Street 2:
Practice Address - City:MISSOURI CITY
Practice Address - State:TX
Practice Address - Zip Code:77459-4694
Practice Address - Country:US
Practice Address - Phone:713-444-5077
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-08-17
Last Update Date:2023-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX85056101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health