Provider Demographics
NPI:1013458256
Name:MILSTEAD & ASSOCIATES COUNSELING GROUP
Entity Type:Organization
Organization Name:MILSTEAD & ASSOCIATES COUNSELING GROUP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:LINDSEY
Authorized Official - Middle Name:M
Authorized Official - Last Name:MLINAR
Authorized Official - Suffix:
Authorized Official - Credentials:MA, LPC
Authorized Official - Phone:936-556-5676
Mailing Address - Street 1:118 E HOSPITAL ST
Mailing Address - Street 2:SUITE 300
Mailing Address - City:NACOGDOCHES
Mailing Address - State:TX
Mailing Address - Zip Code:75961-5203
Mailing Address - Country:US
Mailing Address - Phone:936-615-7927
Mailing Address - Fax:866-875-5265
Practice Address - Street 1:118 E HOSPITAL ST
Practice Address - Street 2:SUITE 300
Practice Address - City:NACOGDOCHES
Practice Address - State:TX
Practice Address - Zip Code:75961-5203
Practice Address - Country:US
Practice Address - Phone:936-615-7927
Practice Address - Fax:866-875-5265
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-03-20
Last Update Date:2017-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX73899101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty