Healthcare Provider Details

I. General information

NPI: 1245181981
Provider Name (Legal Business Name): COMMUNITY LEARNING AND SUPPORT SERVICES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/09/2026
Last Update Date: 02/09/2026
Certification Date: 02/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

413 NORTHVIEW RD
MC ARTHUR OH
45651-1032
US

IV. Provider business mailing address

413 NORTHVIEW RD
MC ARTHUR OH
45651-1032
US

V. Phone/Fax

Practice location:
  • Phone: 304-942-6776
  • Fax:
Mailing address:
  • Phone: 304-942-6776
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number State

VIII. Authorized Official

Name: REBECCA A MILHOAN
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 304-942-6776