MEDICARE: MR. MYLES LAMONT EASLEY SR.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YS0200X	School Counselor

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1679839021
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. MYLES LAMONT EASLEY SR.

Provider Business Mailing Address
First Line	:	583 SOUTHLAKE BLVD STE B
Second Line	:
City	:	NORTH CHESTERFIELD
State	:	VA
Zip	:	23236-3096
Country	:	US
Telephone Number	:	804-594-6142
Fax Number	:

Provider Business Practice Location Address
First Line	:	583 SOUTHLAKE BLVD STE B
Second Line	:
City	:	NORTH CHESTERFIELD
State	:	VA
Zip	:	23236-3096
Country	:	US
Telephone Number	:	804-594-6142
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/10/2012
Last Update Date	:	01/26/2018

Similar Medicare Providers

1760947972 — VIRGINIA COMMONWEALTH SOLUTIONS, LLC
Practice Location Address:

583 SOUTHLAKE BLVD # B
NORTH CHESTERFIELD, VA
23236-3096

Practice Phone: 804-819-0427
Practice Fax:

1255047270 — CHRISTINA SOUTHERS MASTERS BOARD CERT.
Practice Location Address:

587 SOUTHLAKE BLVD STE A
NORTH CHESTERFIELD, VA
23236-3096

Practice Phone: 804-895-7616
Practice Fax:

1033825062 — SECRET GURU PERMANENT MAKEUP
Practice Location Address:

587 SOUTHLAKE BLVD STE A
NORTH CHESTERFIELD, VA
23236-3096

Practice Phone: 804-895-7616
Practice Fax:

1851305080 — JANE BURRELL-GRIFFIN CCC-SLP
Practice Location Address:

3096 HIGHWAY 39 NORTH
LOUISBURG, NC
27549

Practice Phone: 919-496-2219
Practice Fax: 919-496-2219

1154754901 — RON RUTHERFORD
Practice Location Address:

4044 KNOLL RIDGE AVE
NORTH LAS VEGAS, NV
89032-3096

Practice Phone: 702-326-3372
Practice Fax:

1629474895 — MALLORY SANDERS MCD, CCC-SLP
Practice Location Address:

3096 NANTUCKETT AVE
NORTH CHARLESTON, SC
29420-8973

Practice Phone: 843-455-6079
Practice Fax:

Directions to “ MR. MYLES LAMONT EASLEY SR. ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.