Provider Demographics
NPI:1558503250
Name:MILESTONES COUNSELING SERVICES, LLC
Entity Type:Organization
Organization Name:MILESTONES COUNSELING SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:ADELAIDA
Authorized Official - Middle Name:
Authorized Official - Last Name:CAMPBELL
Authorized Official - Suffix:
Authorized Official - Credentials:MA, LPC, RPT-S
Authorized Official - Phone:970-301-5833
Mailing Address - Street 1:904 49TH AVENUE CT
Mailing Address - Street 2:
Mailing Address - City:GREELEY
Mailing Address - State:CO
Mailing Address - Zip Code:80634-1912
Mailing Address - Country:US
Mailing Address - Phone:970-353-1177
Mailing Address - Fax:
Practice Address - Street 1:832 W EISENHOWER BLVD
Practice Address - Street 2:SUITE B
Practice Address - City:LOVELAND
Practice Address - State:CO
Practice Address - Zip Code:80537-3134
Practice Address - Country:US
Practice Address - Phone:970-353-1177
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-03-27
Last Update Date:2009-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO3262101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty