Miles, Maddison L

Miles, Maddison L is an sole proprietor health care provider with primary practice located at 3094 W Market St Ste 105 , Fairlawn OH 44333-3617. She recently has 3 registered licenses in different health care specialties including Other Service Providers / Case Manager/Care Coordinator, Other Service Providers / Community Health Worker, Behavioral Health & Social Service Providers / Counselor. Behavioral Health & Social Service Providers / Counselor is her primary health care specialty. Miles, Maddison L can be contacted via phone (440) 260-8300.

Contact Information

Primary practice address
3094 W Market St Ste 105 Fairlawn OH 44333-3617
Phone: (440) 260-8300
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X Ohio
Other Service Providers / Community Health Worker 172V00000X Ohio
Behavioral Health & Social Service Providers / Counselor 101Y00000X CDCA.169118 Ohio

Profile Details

NPI number 1558851691
LBN Legal business name Miles, Maddison L
Credentials CDCA QMHSBA
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 15th, 2018
Last updated Apr 17th, 2020 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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