Healthcare Provider Details

I. General information

NPI: 1710388756
Provider Name (Legal Business Name): HEATHER MILEHAM MSW, CSW-PIP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/09/2014
Last Update Date: 10/06/2026
Certification Date: 10/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3205 S MEADOW AVE
SIOUX FALLS SD
57106-0939
US

IV. Provider business mailing address

3205 S MEADOW AVE
SIOUX FALLS SD
57106-0939
US

V. Phone/Fax

Practice location:
  • Phone: 605-838-7933
  • Fax:
Mailing address:
  • Phone: 605-838-7933
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number3346
License Number StateSD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: