Organization · Type 2 NPI
Milestone Wellness LLC
Mental Health Clinic/Center (Including Community Mental Health Center) · Laurel, MD
NPI number
1255936217
Active
Practice location
370A Main St
Laurel, MD 20707-4133
Mailing address
12817 Fox Fern Ln
Clarksburg, MD 20871-4040
Other practice locations
- 12817 Fox Fern Ln, Clarksburg, MD 20871-4040 · (240) 755-1056
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) Primary | 261QM0801X | None listed |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | None listed |
Mental Health Clinic/Center (Including Community Mental Health Center): Definition to come...
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About NPI 1255936217
Milestone Wellness LLC's National Provider Identifier is 1255936217, issued on Nov 30, 2020. The primary taxonomy on file is Mental Health Clinic/Center (Including Community Mental Health Center) (261QM0801X), and the practice location is in Laurel, MD. The record was last updated on Feb 4, 2021.