Most Relevant Information
Provider Data
| NPI Number: | 1003400250 |
| Provider Name: | MILES ERIC HAAS LCSW |
| Entity Type: | Individual |
| Taxonomy Code: | 1041C0700X |
| Specialty: | Social Worker |
| License Number: | 17943 |
Most Important Dates
| Enumeration Date: | 02/26/2021 |
| Last Updated: | 10/20/2023 |
Provider Practice Location
415 N RICHARD JACKSON BLVD STE 204
PANAMA CITY BEACH
FL
324073694
Practice Location Phone/Fax
| Phone: | 9173993094 |
| Fax: |
Provider Mailing Location
469 PARADISE BLVD
PANAMA CITY BEACH
FL
324138726
Provider Mailing Phone/Fax
| Phone: | 9173993094 |
| Fax: |