person
Mr. Bruce Ellis Miles SR., LPC
Mental Health Counselor in Shreveport, Louisiana
NPI 1215519848

Bruce Ellis Miles SR. is a Mental Health Counselor based in Minden, LA and is specialized in Mental Health. Bruce Ellis Miles SR. practices in Shreveport, LA and has the professional credentials of LPC. The NPI Number for Bruce Ellis Miles SR. is 1215519848 and holds a License No. 5552 (Louisiana).

The current practice location address for Bruce Ellis Miles SR. is 1255 Shreveport Barksdale Hwy, Shreveport, LA and can be reached out via phone at 318-861-1776.

Location: 1255 Shreveport Barksdale Hwy, Shreveport, LA, 71055-2415
person
Provider Profile Details
NPI Number
1215519848
Provider Name
Bruce Ellis Miles SR.
Credential
LPC
Provider Entity Type
Individual
Gender
Male
Address
1255 Shreveport Barksdale Hwy, Shreveport, LA, 71055-2415
Phone Number
318-861-1776
Fax Number
Provider Enumeration Date
04/23/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1255 Shreveport Barksdale Hwy
City
State
Zip
71105-2405
Phone Number
318-861-1776
Fax Number
person
Provider Business Mailing Address Details
Address
1255 Shreveport Barksdale Hwy
City
State
Zip
71105-2405
Phone Number
318-861-1776
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
5552 (Louisiana)
Definition
Definition to come...
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