Healthcare Provider Details

I. General information

NPI: 1477412609
Provider Name (Legal Business Name): MILES TOWARDS HEALTH AND WELLNESS PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/22/2026
Last Update Date: 01/22/2026
Certification Date: 01/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

770 E ASHLAND ST UNIT 1404
BROCKTON MA
02302-1957
US

IV. Provider business mailing address

770 E ASHLAND ST UNIT 1404
BROCKTON MA
02302-1957
US

V. Phone/Fax

Practice location:
  • Phone: 857-222-4385
  • Fax:
Mailing address:
  • Phone: 857-222-4385
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code133V00000X
TaxonomyRegistered Dietitian
License Number
License Number State

VIII. Authorized Official

Name: ALLISHA CURTIS
Title or Position: OWNER/MEMBER
Credential: LMHC
Phone: 857-222-4385