Individual provider · Type 1 NPI

Omar Lee Miranda, M.ED.

Mental Health Counselor · Plainville, GA

NPI number 1134491962 Active

Practice location

155 Earl St
Plainville, GA 30733-9672

Fax (706) 234-4943

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1134491962

Omar Lee Miranda, M.ED.'s National Provider Identifier is 1134491962, issued on Feb 9, 2012. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Plainville, GA. The record was last updated on Feb 9, 2012.