Shannon Marie Miles in Eagle - Marriage & Family Therapist
Shannon Marie Miles - NPI 1215112453
Shannon Marie Miles is a Marriage & Family Therapist in Eagle, Idaho. Shannon Marie Miles practices all healthcare services and medical treatments related to Marriage & Family Therapist. The NPI Number for Shannon Marie Miles is 1215112453. The last update date is 2015-03-09.
Shannon Marie Miles's current location address is 325 E Shore Dr, Eagle, Idaho. You can contact this provider via phone number 2087617677. The mailing address for Shannon Marie Miles is 325 E Shore Dr, Eagle, Idaho. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Shannon Marie Miles |
|---|---|
| Address | 325 E Shore Dr, Eagle, Idaho |
| Phone Number | 2087617677 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | M.A., LMFT |
NPI Number Detail
| NPI Number | 1215112453 |
|---|---|
| Provider Enumeration Date | 2008-01-07 |
| Last Updated Date | 2015-03-09 |
Provider Mailing Address Detail
| Address | 325 E Shore Dr |
|---|---|
| City | Eagle |
| State | Idaho (ID) |
| Post Code | 836166583 |
| Phone Number | 2087617677 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Marriage & Family Therapist |
|---|---|
| Taxonomy | 106H00000X |
| Licence No | MFC38858 |
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Definition: A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives |
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What is the unique identifier code issued to Shannon Marie Miles by the Centers for Medicare & Medicaid Services (CMS)?
The Shannon Marie Miles has been assigned the NPI (National Provider Identifier) 1215112453. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please provide the complete physical location address of Shannon Marie Miles?
The Shannon Marie Miles is physically situated at 325 E Shore Dr, in the city of Eagle, state of ID, with the postal code 836166583.
What is the Shannon Marie Miles's specialty and taxonomy code?
The Shannon Marie Miles's specialty is Marriage & Family Therapist, and the corresponding taxonomy code is 106H00000X.
On what date did Shannon Marie Miles receive its 1215112453 assignment from the Centers for Medicare & Medicaid Services?
The Shannon Marie Miles was assigned its 1215112453 on 2008-01-07, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information related to Shannon Marie Miles most recently updated or refreshed?
The details pertaining to the Shannon Marie Miles, including its address, specialty, and other relevant information, were last updated or refreshed on 2015-03-09.
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