Nathan J Miles, Therapy And Consultation Services Llc | |
4169 Boone Creek Rd Lexington KY 40509-9712 | |
(859) 379-9721 | |
(859) 813-9244 |
Full Name | Nathan J Miles, Therapy And Consultation Services Llc |
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Speciality | Psychologist - Clinical |
Location | 4169 Boone Creek Rd, Lexington, Kentucky |
Authorized Official Name and Position | Nathan Miles (PSYCHOLOGIST) |
Authorized Official Contact | 8593799721 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Nathan J Miles, Therapy And Consultation Services Llc 4169 Boone Creek Rd Lexington KY 40509-9712 Ph: (859) 379-9721 | Nathan J Miles, Therapy And Consultation Services Llc 4169 Boone Creek Rd Lexington KY 40509-9712 Ph: (859) 379-9721 |
NPI Number | 1972346401 |
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Provider Enumeration Date | 06/13/2024 |
Last Update Date | 08/26/2024 |
Certification Date | 08/26/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1972346401 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103T00000X | Psychologist | (* (Not Available)) | Secondary |
103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
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