Healthcare Provider Details

I. General information

NPI: 1144000993
Provider Name (Legal Business Name): MILES HILL LSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/29/2023
Last Update Date: 07/07/2026
Certification Date: 07/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

333 S MADISON ST
MUNCIE IN
47305-2465
US

IV. Provider business mailing address

333 S MADISON ST
MUNCIE IN
47305-2465
US

V. Phone/Fax

Practice location:
  • Phone: 765-286-7000
  • Fax:
Mailing address:
  • Phone: 765-286-7000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number34012497A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: