Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mr. Theodore Philip Miles, CADACII

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1013593342

Mr. Theodore Philip Miles, CADACII is an Addiction (Substance Use Disorder) Counselor in Bloomington, Indiana. Practices as a sole proprietor. Licensed in Indiana.

Licensed in
IN
In the registry since
2021

Practice location Address checks out

1355 W Bloomfield Rd
Bloomington, IN 47403-2051
Phone: (812) 558-0574
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X · Licence C2-1990 (IN)

Record details

NPI number1013593342
Entity typeIndividual (Type 1)
GenderMale
Credentials CADACII
Sole proprietorYes
NPI enumeratedMarch 18, 2021
Last updated in NPPESMarch 18, 2021
Certification dateMarch 17, 2021

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