Krystallynne Mikle, PHD, LCSW, MSW, BSW

NPI 1346995818 · on the registry since 2022 · sole proprietor

Practice

Address: 21898 Fm 1314 Road Suite C Pmb 104
Suite C Pmb 104
Porter, TX 77365
Phone: (832) 556-3079
Organisation at this address: Diverse Community Healthcare Pllc
Diverse Community Urgent Care Pllc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 3

Registry record

Primary taxonomy: 1041C0700X
1041C0700X
Also registered as: 101Y00000X
101YM0800X
101YP2500X
104100000X
251B00000X
Licence states on file: TX
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2023-09-26

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Texas