Healthcare Provider Details

I. General information

NPI: 1063996759
Provider Name (Legal Business Name): SNJEZANA MILETA LMHC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: SNJEZANA MILETA LMHC

II. Dates (important events)

Enumeration Date: 09/19/2018
Last Update Date: 04/16/2026
Certification Date: 04/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1000 45TH ST STE 100
WEST PALM BEACH FL
33407-2416
US

IV. Provider business mailing address

1515 N FLAGLER DR STE 101
WEST PALM BEACH FL
33401-3429
US

V. Phone/Fax

Practice location:
  • Phone: 561-642-1000
  • Fax:
Mailing address:
  • Phone: 561-659-1270
  • Fax: 561-833-9469

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberMH21450
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberMH21450
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: