Provider Demographics
NPI:1225152523
Name:TRAN-MILES, DENISE MY (PSYD)
Entity Type:Individual
Prefix:DR
First Name:DENISE
Middle Name:MY
Last Name:TRAN-MILES
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7661 KIANA DR
Mailing Address - Street 2:
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80908-4716
Mailing Address - Country:US
Mailing Address - Phone:303-518-3042
Mailing Address - Fax:719-203-6505
Practice Address - Street 1:7661 KIANA DR
Practice Address - Street 2:
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80908-4716
Practice Address - Country:US
Practice Address - Phone:303-518-3042
Practice Address - Fax:719-203-6505
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-19
Last Update Date:2023-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COLPC.0006418101YP2500X
CO320600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No320600000XResidential Treatment FacilitiesResidential Treatment Facility, Intellectual and/or Developmental Disabilities