CHRYSTAL AUTUMN MILES


Address: 27750 State Route 7, Marietta, OH 45750-5147
Phone: 7403715160

CHRYSTAL AUTUMN MILES (NPI# 1376061333) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1376061333
Entity Type Individual
Full Name CHRYSTAL AUTUMN MILES
Credential CDCA
Practice Address 27750 State Route 7
Marietta
OH 45750-5147
Practice Telephone 7403715160
Mailing Telephone 7403715160
Enumeration Date 2017-08-30
Last Update Date 2018-03-17
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YA0400X Counselor
Specialization: Addiction (Substance Use Disorder)
140643 OH Behavioral Health & Social Service Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
639 Marrtown Rd, Parkersburg, WV 26101 6066944635

Office Location

Street Address 27750 STATE ROUTE 7
City MARIETTA
State OH
Zip Code 45750-5147

Providers in the same location

NPI Name Taxonomy Address Enumeration
1720504673 Coda Lee Click Social Worker 27750 State Route 7, Marietta, OH 45750-5147 2017-08-22
1235758319 Garrett Nunn Peer Specialist 27750 State Route 7, Marietta, OH 45750-5147 2020-04-09
1952946261 Alicia Johnson Counselor 27750 State Route 7, Marietta, OH 45750-5147 2019-11-11
1790249431 Oriana House, Inc. Community/Behavioral Health 27750 State Route 7, Marietta, OH 45750-5147 2019-01-28
1225501414 Amie Miller Nurse Practitioner 27750 State Route 7, Marietta, OH 45750-5147 2019-01-10
1578066288 Heather Roberts Counselor 27750 State Route 7, Marietta, OH 45750-5147 2018-03-09

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1073111654 Mary V Byrd Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 37 Sterling Rd, Marietta, OH 45750 2020-10-15
1356997522 Jeffry Todd Arthur Pharmacist 401 Matthew Street Suite 100, Marietta, OH 45750 2019-08-14
1164965752 Jennifer Ann Simmons Counselor 121 Putnam St, Marietta, OH 45750 2016-11-30
1811449010 Kaylee Rebecca-ann Weihl Counselor 207 D Colegate Drive, Marietta, OH 45750 2016-11-04
1467802181 Jody Alden Registered Nurse 342 Muskingum Dr., Marietta, OH 45750 2016-06-14
1073998944 Rise A. Gibson Dental Hygienist 342 Muskingum Drive, Marietta, OH 45750 2015-07-21
1639559602 Washington County Board of Developmental Dissabilities Day Training, Developmentally Disabled Services 1701 Colegate Dr., Marietta, OH 45750 2015-06-04
1902290406 Irina Catanescu Emergency Medicine 401 Matthew Street, Emergency Department, Marietta, OH 45750 2015-03-23
1134520356 Susan Jahn Occupational Therapist 1338a Colegate Dr, Marietta, OH 45750 2014-09-08
1740696087 Melissa D Maston Registered Nurse Express Care - Marietta, 800 Pike St Ste 2, Marietta, OH 45750 2014-07-08
Find all providers in zip 45750

Taxonomy Information

Taxonomy Code 101YA0400X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Addiction (Substance Use Disorder)

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1477194371 Dana Rene Forshey Counselor 1165 Lynch Church Rd, Marietta, OH 45750-7530 2019-10-01
1811540123 Ashley Baker Counselor 1417 Lancaster St, Marietta, OH 45750-7973 2019-07-17
1811485550 Berneice Harris Counselor 120 S Park Sq Ne Ste 205, Marietta, GA 30060-8632 2018-04-27
1598279754 Marc V Pimsler Counselor 2621 Sandy Plains Rd Ste 101, Marietta, GA 30066-4276 2017-11-27
1891217600 Crossover Outpatient Services LLC Counselor 241 Lemon St Ne Ste C, Marietta, GA 30060-1644 2017-07-13
1033646864 Aminta Osejo Counselor 1368 Atlanta Rd Se Ste 111, Marietta, GA 30060-3936 2017-05-11
1144755752 Kawonda Holland Counselor 2117 Caswell Cir, Marietta, GA 30060-9262 2017-04-21
1164965752 Jennifer Ann Simmons Counselor 121 Putnam St, Marietta, OH 45750 2016-11-30
1811449010 Kaylee Rebecca-ann Weihl Counselor 207 D Colegate Drive, Marietta, OH 45750 2016-11-04
1336518620 Courtney Stires Counselor 1338 Colegate Dr Ste B, Marietta, OH 45750-1329 2015-09-17
Find all providers in MARIETTA

Competitor

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City MARIETTA
Zip Code 45750

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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