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General NPI Number Information
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NPI Number | 1639322803
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Entity Type | Organization
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Legal Business Name | MILESTONE COUNSELING SERVICES LLC
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Dates
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Enumeration Date | 10/31/2008
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Last Update Date | 03/04/2020
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Provider Practice Location Address
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Address Line | 2205 PERL RD
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City | RICHMOND
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State | VA
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Zip | 23230-2007
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Country | US
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Telephone | 804-447-2139
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Fax |
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Provider Business Mailing Address
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Address Line | 2205 PERL RD
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City | RICHMOND
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State | VA
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Zip | 23230-2007
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Country | US
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Telephone | 804-447-2139
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Fax |
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Authorized Official
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Title or Position | CHIEF ADMINISTRATIVE OFFICER
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Name | MRS. KIM W WILLS
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Credential | MBA
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Telephone | 804-447-2139
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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