Healthcare Provider Details

I. General information

NPI: 1447669288
Provider Name (Legal Business Name): JAMIE LYNN SILER MS, LPCC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/06/2014
Last Update Date: 07/05/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4339 WINSTON AVE
COVINGTON KY
41015-1739
US

IV. Provider business mailing address

4339 WINSTON AVE
COVINGTON KY
41015-1739
US

V. Phone/Fax

Practice location:
  • Phone: 859-835-2573
  • Fax: 844-671-9051
Mailing address:
  • Phone: 859-835-2573
  • Fax: 844-671-9051

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number168301
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: