Healthcare Provider Details

I. General information

NPI: 1306370317
Provider Name (Legal Business Name): MILESTONE COUNSELING, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/17/2017
Last Update Date: 05/06/2026
Certification Date: 05/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

205 HATTERAS AVE STE102
CLERMONT FL
34711-6502
US

IV. Provider business mailing address

205 HATTERAS AVE STE102
CLERMONT FL
34711-6502
US

V. Phone/Fax

Practice location:
  • Phone: 352-348-8858
  • Fax: 352-708-5603
Mailing address:
  • Phone: 352-348-8858
  • Fax: 352-708-5603

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name: MR. JOHN GERON ROGERS
Title or Position: PRESIDENT/EXECUTIVE DIRECTOR
Credential: LMHC
Phone: 352-348-8858