Individual
MRS. MIRIAH KEANEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LMHC
Contact information
Practice address
4575 SE DIXIE HWY, STUART, FL 34997-6826
(855) 832-6727
(772) 675-9100
Mailing address
5205 SUNSET BLVD, FORT PIERCE, FL 34982-3880
(772) 618-3243
(772) 675-9100
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
MH18209
FL
101YM0800X
Mental Health Counselor
—
—
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
08/27/2014
Last updated
01/25/2021
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