Healthcare Provider Details

I. General information

NPI: 1548105653
Provider Name (Legal Business Name): 10 MILES EDUCATIONAL CONSULTING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/23/2026
Last Update Date: 04/23/2026
Certification Date: 04/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1287 DOGWOOD HOLLOW DR
NESBIT MS
38651-8328
US

IV. Provider business mailing address

1287 DOGWOOD HOLLOW DR
NESBIT MS
38651-8328
US

V. Phone/Fax

Practice location:
  • Phone: 662-912-6580
  • Fax:
Mailing address:
  • Phone: 662-912-6580
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: DR. MICHAEL D MILES
Title or Position: OWNER
Credential: ED.D.
Phone: 662-403-1123