NPI Code Detail JSON Logo

1750088274 NPI number — THE MILIEU THERAPEUTIC SERVICES, ,PC

NPI Number: 1750088274
Health Care Provider/Practitioner: THE MILIEU THERAPEUTIC SERVICES, ,PC

Information about “1750088274” NPI (THE MILIEU THERAPEUTIC SERVICES, ,PC) exists in 1750088274 in HTML format HTML  |  1750088274 in plain Text format TXT  |  1750088274 in PDF (Portable Document Format) PDF  |  1750088274 in an XML format XML  formats.

NPI Number : 1750088274 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1750088274",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "Y",
    "ParentOrgLBN": "THE MILIEU THERAPEUTIC SERVICES, PC",
    "ParentOrgTIN": null,
    "OrgName": "THE MILIEU THERAPEUTIC SERVICES, ,PC",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": "6",
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "5007C VICTORY BLVD # 118",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "YORKTOWN",
    "MailingAddressStateName": "VA",
    "MailingAddressPostalCode": "23693-5601",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "833-464-5438",
    "MailingAddressFaxNumber": "757-578-8226",
    "FirstLinePracticeLocationAddress": "1730 GEORGE WASHINGTON MEM HWY STE F-6",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "YORKTOWN",
    "PracticeLocationAddressStateName": "VA",
    "PracticeLocationAddressPostalCode": "23693-4328",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "833-464-5438",
    "PracticeLocationAddressFaxNumber": "757-578-8226",
    "EnumerationDate": "02/15/2023",
    "LastUpdateDate": "06/15/2023",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "VAUGHN",
    "AuthorizedOfficialFirstName": "WILLARD",
    "AuthorizedOfficialMiddleName": "A",
    "AuthorizedOfficialTitle": "CEO",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "LPC",
    "AuthorizedOfficialTelephoneNumber": "833-464-5438",
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "101YA0400X",
          "TaxonomyName": "Addiction (Substance Use Disorder) Counselor",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "101YM0800X",
          "TaxonomyName": "Mental Health Counselor",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "1041C0700X",
          "TaxonomyName": "Clinical Social Worker",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "251S00000X",
          "TaxonomyName": "Community/Behavioral Health Agency",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": {
      "HealthcareProviderTaxonomyGroup": [
        {
          "HealthcareProviderTaxonomyGroupName": "193200000X MULTI-SPECIALTY GROUP",
          "HealthcareProviderTaxonomyGroupDescription": "Multi-Specialty Group - A business group of one or more individual practitioners, who practice with different areas of specialization."
        },
        {
          "HealthcareProviderTaxonomyGroupName": "193200000X MULTI-SPECIALTY GROUP",
          "HealthcareProviderTaxonomyGroupDescription": "Multi-Specialty Group - A business group of one or more individual practitioners, who practice with different areas of specialization."
        },
        {
          "HealthcareProviderTaxonomyGroupName": "193200000X MULTI-SPECIALTY GROUP",
          "HealthcareProviderTaxonomyGroupDescription": "Multi-Specialty Group - A business group of one or more individual practitioners, who practice with different areas of specialization."
        }
      ]
    }
  }
}
                
            

Copyright © 2007-2026 Data Labs Health. All rights reserved.