Individual
MIA ULMER EARLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC, ATR-BC, CCTP
Contact information
Practice address
356 QUIET GROVE DR, LEXINGTON, SC 29072-8291
(803) 308-3382
Mailing address
356 QUIET GROVE DR, LEXINGTON, SC 29072-8291
(803) 308-3382
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
014680
GA
101YP2500X
Professional Counselor
Primary
8263
SC
Other
Enumeration date
05/28/2022
Last updated
02/24/2026
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