Provider Demographics
NPI:1023559002
Name:JENNA MILES, LPC, LLC
Entity Type:Organization
Organization Name:JENNA MILES, LPC, LLC
Other - Org Name:MILE BY MILES COUNSELING
Other - Org Type:Doing Business As
Authorized Official - Title/Position:LICENSED PROFESSIONA COUNSELOR/OWNE
Authorized Official - Prefix:
Authorized Official - First Name:JENNA
Authorized Official - Middle Name:
Authorized Official - Last Name:MILES
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:804-215-2145
Mailing Address - Street 1:10035 SLIDING HILL RD STE 204
Mailing Address - Street 2:
Mailing Address - City:ASHLAND
Mailing Address - State:VA
Mailing Address - Zip Code:23005-7953
Mailing Address - Country:US
Mailing Address - Phone:804-215-2145
Mailing Address - Fax:
Practice Address - Street 1:10035 SLIDING HILL RD STE 204
Practice Address - Street 2:
Practice Address - City:ASHLAND
Practice Address - State:VA
Practice Address - Zip Code:23005-7953
Practice Address - Country:US
Practice Address - Phone:804-215-2145
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-03-10
Last Update Date:2022-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0701006111101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty