MEDICARE: CAMESHIA LEKEITHA MILLER

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	104100000X	Social Worker	108052	TX

General Provider Information

NPI Number	:	1689545840
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CAMESHIA LEKEITHA MILLER

Provider Business Mailing Address
First Line	:	5555 LONG PRAIRE TRACE APT. 1134
Second Line	:
City	:	RICHMOND
State	:	TX
Zip	:	77407
Country	:	US
Telephone Number	:	832-853-4433
Fax Number	:

Provider Business Practice Location Address
First Line	:	5555 LONG PRAIRIE TRCE APT 1134
Second Line	:
City	:	RICHMOND
State	:	TX
Zip	:	77407-1782
Country	:	US
Telephone Number	:	832-853-4433
Fax Number	:

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

Provider Enumeration Date	:	09/12/2025
Last Update Date	:	09/12/2025

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