Healthcare Provider Details

I. General information

NPI: 1356250823
Provider Name (Legal Business Name): MIRIAM STIEL
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/02/2026
Last Update Date: 09/02/2026
Certification Date: 09/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

908 PRESTON RD
CHARLESTON SC
29412-9130
US

IV. Provider business mailing address

908 PRESTON RD
CHARLESTON SC
29412-9130
US

V. Phone/Fax

Practice location:
  • Phone: 843-530-1505
  • Fax:
Mailing address:
  • Phone: 843-530-1505
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code374J00000X
TaxonomyDoula
License NumberMST-107519
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: