Provider Demographics
NPI:1922616036
Name:MILA THERAPY SERVICES PLLC
Entity Type:Organization
Organization Name:MILA THERAPY SERVICES PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/SLP
Authorized Official - Prefix:MRS
Authorized Official - First Name:NOELLE
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:STRICKER
Authorized Official - Suffix:
Authorized Official - Credentials:MS CCC-SLP
Authorized Official - Phone:704-621-3049
Mailing Address - Street 1:1246 HAWTHORNE DR
Mailing Address - Street 2:
Mailing Address - City:INDIAN TRAIL
Mailing Address - State:NC
Mailing Address - Zip Code:28079-4137
Mailing Address - Country:US
Mailing Address - Phone:704-621-3049
Mailing Address - Fax:980-372-1800
Practice Address - Street 1:1246 HAWTHORNE DR
Practice Address - Street 2:
Practice Address - City:INDIAN TRAIL
Practice Address - State:NC
Practice Address - Zip Code:28079-4137
Practice Address - Country:US
Practice Address - Phone:704-621-3049
Practice Address - Fax:980-372-1800
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-07-15
Last Update Date:2024-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty
No225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC1437640125Medicaid
SCNPC293Medicaid