Active NPI
Miles Family Therapeutics LLC
- Community/Behavioral Health Agency
- Chesapeake, VA
National Provider Identifier
1003671892
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- Legal business name
- MILES FAMILY THERAPEUTICS LLC
- Practice address
- 811 Juniper Cres Ste 2
Chesapeake, VA 23320-2633 - Phone
- (757) 904-1866
- Fax
- (757) 904-1738
- NPI assigned
- Feb 20, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Vincent Miles Jr.
- Title
- Ceo
- Phone
- (757) 770-6360
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | |||
| Community/Behavioral Health Agency | 251S00000X | Primary |
Addresses
Primary practice location
811 Juniper Cres Ste 2
Chesapeake, VA 23320-2633
Mailing address
PO Box 2681
Chesapeake, VA 23327-2681
Phone (757) 904-1866
National Provider Directory
National Provider DirectoryLocations
811 Juniper Cres
Ste 2
Chesapeake, VA 23320
Phone (757) 657-5320
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1708387200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1729555200000",
"number": "1003671892",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2681",
"city": "CHESAPEAKE",
"state": "VA",
"postal_code": "233272681",
"telephone_number": "757-904-1866",
"fax_number": "757-904-1738"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "811 JUNIPER CRES STE 2",
"city": "CHESAPEAKE",
"state": "VA",
"postal_code": "233202633",
"telephone_number": "757-904-1866",
"fax_number": "757-904-1738"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MILES FAMILY THERAPEUTICS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-02-20",
"last_updated": "2024-10-22",
"certification_date": "2024-10-22",
"status": "A",
"authorized_official_last_name": "MILES",
"authorized_official_first_name": "VINCENT",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "757-770-6360",
"authorized_official_name_prefix": "Mr.",
"authorized_official_name_suffix": "Jr."
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chesapeake, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.