Provider Demographics
NPI:1114583382
Name:MILESTONE THERAPY AND CONSULTATION
Entity Type:Organization
Organization Name:MILESTONE THERAPY AND CONSULTATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SHAARON
Authorized Official - Middle Name:A
Authorized Official - Last Name:BOYLES
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:828-329-4161
Mailing Address - Street 1:7 CAMPBELL CIR
Mailing Address - Street 2:
Mailing Address - City:ASHEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28803-2005
Mailing Address - Country:US
Mailing Address - Phone:828-329-4161
Mailing Address - Fax:
Practice Address - Street 1:166 E CHESTNUT ST
Practice Address - Street 2:
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28801-2337
Practice Address - Country:US
Practice Address - Phone:828-329-4161
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-05-14
Last Update Date:2019-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty