Provider Demographics
NPI:1194044008
Name:MILESTONES THERAPEUTIC ASSOCIATES
Entity Type:Organization
Organization Name:MILESTONES THERAPEUTIC ASSOCIATES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SOCIAL WORKER
Authorized Official - Prefix:
Authorized Official - First Name:LORENA
Authorized Official - Middle Name:
Authorized Official - Last Name:TREVINO
Authorized Official - Suffix:
Authorized Official - Credentials:LMSW
Authorized Official - Phone:956-661-0475
Mailing Address - Street 1:3300 N MCCOLL RD STE A
Mailing Address - Street 2:
Mailing Address - City:MCALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:78501-5696
Mailing Address - Country:US
Mailing Address - Phone:956-661-0475
Mailing Address - Fax:956-630-9941
Practice Address - Street 1:3300 N MCCOLL RD STE A
Practice Address - Street 2:
Practice Address - City:MCALLEN
Practice Address - State:TX
Practice Address - Zip Code:78501-5696
Practice Address - Country:US
Practice Address - Phone:956-661-0475
Practice Address - Fax:956-630-9941
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-05-18
Last Update Date:2010-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX40249251B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management