Individual provider · Type 1 NPI

Lisa Miles, LPC-IT

Professional Counselor · Pewaukee, WI

NPI number 1083459697 Active

Practice location

353 Forest Grove Dr Ste 100
Pewaukee, WI 53072-3765

Fax (262) 691-2972

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X12640-125 (WI)

Professional Counselor: Definition to come...

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About NPI 1083459697

Lisa Miles, LPC-IT's National Provider Identifier is 1083459697, issued on Jun 26, 2024. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Pewaukee, WI. The record was last updated on Jun 25, 2026.