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 |
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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 |