Provider Demographics
NPI:1932722949
Name:MILES, TOBI LEIGH ANN (MSSW)
Entity type:Individual
Prefix:
First Name:TOBI
Middle Name:LEIGH ANN
Last Name:MILES
Suffix:
Gender:F
Credentials:MSSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:201 STONER WAY
Mailing Address - Street 2:
Mailing Address - City:NEW WASHINGTON
Mailing Address - State:IN
Mailing Address - Zip Code:47162-9138
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:75 N 1ST ST
Practice Address - Street 2:
Practice Address - City:SCOTTSBURG
Practice Address - State:IN
Practice Address - Zip Code:47170-1637
Practice Address - Country:US
Practice Address - Phone:812-752-2837
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-05-26
Last Update Date:2023-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical