Provider Demographics
NPI:1750044244
Name:MILESTONE FAMILY COUNSELING
Entity Type:Organization
Organization Name:MILESTONE FAMILY COUNSELING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSED PROFESSIONAL COUNSELOR
Authorized Official - Prefix:DR
Authorized Official - First Name:ANGELA
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:PENA
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:469-315-6314
Mailing Address - Street 1:8668 JOHN HICKMAN PKWY STE 303
Mailing Address - Street 2:
Mailing Address - City:FRISCO
Mailing Address - State:TX
Mailing Address - Zip Code:75034-8181
Mailing Address - Country:US
Mailing Address - Phone:469-315-6314
Mailing Address - Fax:
Practice Address - Street 1:8668 JOHN HICKMAN PKWY STE 303
Practice Address - Street 2:
Practice Address - City:FRISCO
Practice Address - State:TX
Practice Address - Zip Code:75034-8181
Practice Address - Country:US
Practice Address - Phone:469-315-6314
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-10-21
Last Update Date:2021-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty