Tina Miles
Individual provider Active NPI Mental Health Counselor · Wiggins, MS
NPI 1720736770 · NPPES record last updated Mar 17, 2022
Key facts
- NPI
- 1720736770
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- License
- M6112 (MS)
- Practice address
- 200 Coastal Paper Dr
Wiggins, MS 39577-7000 - Phone
- (601) 385-6095
- Fax
- (601) 928-5622
- NPI assigned
- Mar 17, 2022
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| M6112 | MS | MD | Mental Health Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | M6112 | MS | Yes |
Addresses
Primary practice location
200 Coastal Paper Dr
Wiggins, MS 39577-7000
Mailing address
PO Box 18679
Hattiesburg, MS 39404-8679
Phone (601) 705-1901
Other providers in Wiggins, MS
- Magnolia Urgent Care Inc
- Lara McDonald
- Michelle Lorraine McQueen
- Memorial Hospital at Gulfport
- Memorial Hospital at Gulfport
- Mississippi State Department of Health
- Autrionne D Monroe
- Lycel Parmosa Nall
- Brooke Naramore
- Carly Anne Nichols
All providers in Wiggins, MS · Mental Health Counselor in Mississippi
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 17, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.