Provider Demographics
NPI:1578201653
Name:REACHING MILESTONE LLC
Entity Type:Organization
Organization Name:REACHING MILESTONE LLC
Other - Org Name:REACHING MILESTONE LLC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:MONIQUE
Authorized Official - Middle Name:ALTERISS
Authorized Official - Last Name:CLARK
Authorized Official - Suffix:
Authorized Official - Credentials:BSW
Authorized Official - Phone:180-495-5713
Mailing Address - Street 1:2325 SARA LN
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23224-2761
Mailing Address - Country:US
Mailing Address - Phone:804-955-7134
Mailing Address - Fax:
Practice Address - Street 1:2325 SARA LN
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23224-2761
Practice Address - Country:US
Practice Address - Phone:804-955-7134
Practice Address - Fax:804-728-3597
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-05-26
Last Update Date:2022-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services
No320900000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities