MEDICARE: SNJEZANA MILETA LMHC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YP2500X	Professional Counselor	MH21450	FL
2	101YM0800X	Mental Health Counselor	MH21450	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1063996759
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SNJEZANA MILETA LMHC

Provider Business Mailing Address
First Line	:	1515 N FLAGLER DR STE 101
Second Line	:
City	:	WEST PALM BEACH
State	:	FL
Zip	:	33401-3429
Country	:	US
Telephone Number	:	561-659-1270
Fax Number	:	561-833-9469

Provider Business Practice Location Address
First Line	:	1000 45TH ST STE 100
Second Line	:
City	:	WEST PALM BEACH
State	:	FL
Zip	:	33407-2416
Country	:	US
Telephone Number	:	561-642-1000
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/19/2018
Last Update Date	:	04/16/2026

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