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NPI Code Detail

MEDICARE: SHYLO DESTINY MILLER

MEDICARE:   SHYLO DESTINY MILLER
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
1101YM0800XMental Health Counselor

General Provider Information

NPI Number : 1912849548
Entity Type Code : Individual
Provider Name (Legal Business Name) : SHYLO DESTINY MILLER
Provider Business Mailing Address
First Line : 51266 W HIGHWAY 33
Second Line :
City : DRUMRIGHT
State : OK
Zip : 74030-5708
Country : US
Telephone Number : 918-944-8000
Fax Number : 918-352-2074
Provider Business Practice Location Address
First Line : 51266 W HIGHWAY 33
Second Line :
City : DRUMRIGHT
State : OK
Zip : 74030-5708
Country : US
Telephone Number : 918-944-8000
Fax Number : 918-352-2074
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/06/2026
Last Update Date : 04/06/2026

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Directions to “ SHYLO DESTINY MILLER ” Practice Location

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