MR. BRUCE ELLIS MILES LPC NPI 1215519848

NPI Information

NPI: 1215519848
Provider Name: MR. BRUCE ELLIS MILES, LPC
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

Address:
1255 SHREVEPORT BARKSDALE HWY
SHREVEPORT, LA
ZIP 71105
Phone: (318) 861-1776
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MR. Bruce Ellis Miles, LPC is a mental health counselor in Shreveport, LA. MR. Bruce Ellis Miles, LPC NPI is 1215519848. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1255 SHREVEPORT BARKSDALE HWY
SHREVEPORT, LA
ZIP 71105-405
Phone: (318) 861-1776

The enumeration date for this NPI number is 4/23/2021 and was last updated on 4/23/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YM0800X	Counselor	Mental Health	5552	LOUISIANA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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