Provider Demographics
NPI:1033484027
Name:MILES, JANICE RENEE (LMFT)
Entity Type:Individual
Prefix:MS
First Name:JANICE
Middle Name:RENEE
Last Name:MILES
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 343
Mailing Address - Street 2:
Mailing Address - City:EAST BROOKFIELD
Mailing Address - State:MA
Mailing Address - Zip Code:01515-0343
Mailing Address - Country:US
Mailing Address - Phone:866-705-7420
Mailing Address - Fax:
Practice Address - Street 1:2956 S ROCHESTER RD # 101
Practice Address - Street 2:
Practice Address - City:ROCHESTER HILLS
Practice Address - State:MI
Practice Address - Zip Code:48307-4551
Practice Address - Country:US
Practice Address - Phone:866-705-7420
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-03-09
Last Update Date:2023-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist