Miley, Patrick Evan

Miley, Patrick Evan is an individual health care provider with primary practice located at 1220 Willis Ave , Daytona Beach FL 32114-2810. He recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Counselor is his primary health care specialty. Miley, Patrick Evan can be contacted via phone (386) 236-1697.

Contact Information

Primary practice address
1220 Willis Ave Daytona Beach FL 32114-2810
Phone: (386) 236-1697
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X MH8202 Florida
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X MH8202 Florida
Behavioral Health & Social Service Providers / Mental Health 101YM0800X MH8202 Florida

Profile Details

NPI number 1710141130
LBN Legal business name Miley, Patrick Evan
Credentials ED.S.
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 15th, 2008
Last updated Apr 28th, 2009 - about 16 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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Identifiers

StateTypeNumberIssuer
All States NPI 1710141130 NPPES
Florida MEDICAID 000293400

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