| Miles Family Therapeutics Llc | |
|
811 Juniper Cres Ste 2 Chesapeake VA 23320-2633 | |
| (757) 904-1866 | |
| (757) 904-1738 |
| Full Name | Miles Family Therapeutics Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 811 Juniper Cres Ste 2, Chesapeake, Virginia |
| Authorized Official Name and Position | Vincent Miles (CEO) |
| Authorized Official Contact | 7577706360 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Miles Family Therapeutics Llc Po Box 2681 Chesapeake VA 23327-2681 Ph: (757) 904-1866 | Miles Family Therapeutics Llc 811 Juniper Cres Ste 2 Chesapeake VA 23320-2633 Ph: (757) 904-1866 |
| NPI Number | 1003671892 |
|---|---|
| Provider Enumeration Date | 02/20/2024 |
| Last Update Date | 10/22/2024 |
| Certification Date | 10/22/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003671892 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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