| Jaime Marie Miller, | |
|
17039 Oak St, Dillwyn, VA 23936-3019 | |
| (434) 941-5476 | |
| Not Available |
| Full Name | Jaime Marie Miller |
|---|---|
| Gender | Female |
| Speciality | Counselor - Professional |
| Location | 17039 Oak St, Dillwyn, Virginia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639761067 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 0701010245 (Virginia) | Primary |
| Entity Name | Third Space Therapy Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1215780234 PECOS PAC ID: 8729518014 Enrollment ID: O20250501000398 |
| Mailing Address | Practice Location Address |
|---|---|
| Jaime Marie Miller, 17039 Oak St, Dillwyn, VA 23936-3019 Ph: (434) 941-5476 | Jaime Marie Miller, 17039 Oak St, Dillwyn, VA 23936-3019 Ph: (434) 941-5476 |
Kenneth Adrian Deneault, LPC Counselor Medicare: Medicare Enrolled Practice Location: 17039 Oak St, Dillwyn, VA 23936 Phone: 434-808-0604 Fax: 434-808-0716 | |
Matthew Rowe Browning, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1046 Main Street, Dillwyn, VA 23936 Phone: 434-983-1136 | |
Tawanna Patterson, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 16460 Oak Street, Dillwyn, VA 23936 Phone: 434-414-1128 | |
Annie Lee Ramsay, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 17039 Oak St, Dillwyn, VA 23936 Phone: 434-391-4364 |