Karla Miles, LCDCIII

Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · Bellbrook, OH

NPI 1831551001 · NPPES record last updated Mar 25, 2016

Key facts

NPI
1831551001
Entity type
Individual (NPI type 1)
Primary specialty
Addiction (Substance Use Disorder) Counselor 101YA0400X
License
021031 (OH)
Practice address
2466 Tennyson Dr
Bellbrook, OH 45305-1744
Phone
(937) 461-5223
Fax
(937) 461-7010
NPI assigned
Mar 25, 2016
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
021031OHMDAddiction (Substance Use Disorder) Counselor

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 021031 OH Yes

Addresses

Primary practice location

2466 Tennyson Dr
Bellbrook, OH 45305-1744

Mailing address

2466 Tennyson Dr
Bellbrook, OH 45305-1744
Phone (937) 461-5223

Other providers in Bellbrook, OH

All providers in Bellbrook, OH · Addiction (Substance Use Disorder) Counselor in Ohio

Sources for this page

Verify at the official NPI Registry.