Individual provider · Type 1 NPI

Bruce Ellis Miles Sr., LPC

Mental Health Counselor · Shreveport, LA

NPI number 1215519848 Active

Practice location

1255 Shreveport Barksdale Hwy
Shreveport, LA 71105-2405

Call (318) 861-1776 Map

Mailing address

405 Clerk St
Minden, LA 71055-2415

Other practice locations

  • 1255 Shreveport Barksdale Hwy, Shreveport, LA 71105-2405 · (318) 861-1776

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X5552 (LA)

Mental Health Counselor: Definition to come...

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About NPI 1215519848

Bruce Ellis Miles Sr., LPC's National Provider Identifier is 1215519848, issued on Apr 23, 2021. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Shreveport, LA. The record was last updated on Apr 23, 2021.