Healthcare Provider Details

I. General information

NPI: 1043937097
Provider Name (Legal Business Name): MILESTONE COUNSELING & WELLNESS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/20/2022
Last Update Date: 10/24/2022
Certification Date: 10/24/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

301 OXFORD VALLEY RD STE 304B
YARDLEY PA
19067-7709
US

IV. Provider business mailing address

301 OXFORD VALLEY RD STE 304B
YARDLEY PA
19067-7709
US

V. Phone/Fax

Practice location:
  • Phone: 215-603-8409
  • Fax:
Mailing address:
  • Phone: 215-603-8409
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name: ERIC MARSEGLIA
Title or Position: OWNER
Credential: J.D.
Phone: 215-603-8409