| Miles Keller, | |
|
14800 E Old Us Highway 12, Chelsea, MI 48118-2110 | |
| (734) 719-0380 | |
| Not Available |
| Full Name | Miles Keller |
|---|---|
| Gender | Male |
| Speciality | Mental Health Counselor |
| Experience | 6 Years |
| Location | 14800 E Old Us Highway 12, Chelsea, Michigan |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992307458 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | 6401223066 (Michigan) | Secondary |
| 101YM0800X | Counselor - Mental Health | 6401223066 (Michigan) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Timber Creek Counseling Llc | 4688004815 | 2 |
| Entity Name | Timber Creek Counseling Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1194213322 PECOS PAC ID: 4688004815 Enrollment ID: O20200430001328 |
| Mailing Address | Practice Location Address |
|---|---|
| Miles Keller, 14800 E Old Us Highway 12, Chelsea, MI 48118-2110 Ph: (734) 719-0380 | Miles Keller, 14800 E Old Us Highway 12, Chelsea, MI 48118-2110 Ph: (734) 719-0380 |
Sydney Friend, LLC Counselor Medicare: Not Enrolled in Medicare Practice Location: 14800 E Old Us Highway 12, Chelsea, MI 48118 Phone: 734-719-0380 | |
Connor Keoni Jewell, MA, LLPC Counselor Medicare: Accepting Medicare Assignments Practice Location: 14800 E Old Us Highway 12, Chelsea, MI 48118 Phone: 734-719-0380 Fax: 734-292-8239 | |
Ms. Cynthia Swartz, L.P.C. Counselor Medicare: Not Enrolled in Medicare Practice Location: 310 N Main St, Ste 205, Chelsea, MI 48118 Phone: 517-420-7148 Fax: 517-861-2034 | |
Faith Elise Baker, LLMSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 140 W Middle St, Chelsea, MI 48118 Phone: 734-559-3540 | |
Mr. Todd Koch, LLPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 636 N Main St Ste 100, Chelsea, MI 48118 Phone: 734-395-6552 | |
Shelly Rene Bruner, LLPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 636 N Main St, Chelsea, MI 48118 Phone: 734-664-2528 | |
Trista Palmer, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 636 N Main St, Chelsea, MI 48118 Phone: 734-623-9111 |