Organization
MILES FAMILY THERAPEUTICS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. VINCENT MILES JR. (CEO)
(757) 770-6360
Entity
Organization
Contact information
Practice address
811 JUNIPER CRES STE 2, CHESAPEAKE, VA 23320-2633
(757) 904-1866
(757) 904-1738
Mailing address
PO BOX 2681, CHESAPEAKE, VA 23327-2681
(757) 904-1866
(757) 904-1738
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
02/20/2024
Last updated
10/22/2024
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