Individual
MIA CARLYLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
QMHP-T
Contact information
Practice address
2006 BREMO RD STE 101, RICHMOND, VA 23226-2438
(804) 918-1115
Mailing address
1328 S MOUNT VERNON AVE APT G, WILLIAMSBURG, VA 23185-2853
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
03/06/2024
Last updated
03/06/2024
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