| Gina Renee Miles, LICSW | |
|
221 W Wynooche Ave Unit B, Montesano, WA 98563-4401 | |
| (360) 797-5241 | |
| (360) 249-8495 |
| Full Name | Gina Renee Miles |
|---|---|
| Gender | Female |
| Speciality | Clinical Social Worker |
| Experience | 22 Years |
| Location | 221 W Wynooche Ave Unit B, Montesano, Washington |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124651419 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 60693174 (Washington) | Primary |
| Entity Name | Hope Revisited Counseling Services Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1740877638 PECOS PAC ID: 2567876360 Enrollment ID: O20210205000275 |
| Mailing Address | Practice Location Address |
|---|---|
| Gina Renee Miles, LICSW 221 W Wynooche Ave Unit B, Montesano, WA 98563-4401 Ph: (360) 797-5241 | Gina Renee Miles, LICSW 221 W Wynooche Ave Unit B, Montesano, WA 98563-4401 Ph: (360) 797-5241 |
Kylie Medina-lofink, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: Po Box 86, Montesano, WA 98563 Phone: 360-209-4509 | |
Ms. Carole August Grigg, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 138 South First Street, Suite 4, Montesano, WA 98563 Phone: 360-249-5266 Fax: 360-249-5266 | |
Traci Burg, MSW, LACISW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 720 W Pioneer Ave, Montesano, WA 98563 Phone: 360-441-0938 |