Provider Demographics
NPI:1245880269
Name:THERAPEUTIC MILESTONES, LLC
Entity type:Organization
Organization Name:THERAPEUTIC MILESTONES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:LEKESIAH
Authorized Official - Middle Name:NELSON
Authorized Official - Last Name:MOSBY
Authorized Official - Suffix:
Authorized Official - Credentials:OTR/L
Authorized Official - Phone:770-377-7628
Mailing Address - Street 1:385 SABLEWOOD DR
Mailing Address - Street 2:
Mailing Address - City:ALPHARETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30004-8048
Mailing Address - Country:US
Mailing Address - Phone:770-377-7628
Mailing Address - Fax:
Practice Address - Street 1:385 SABLEWOOD DR
Practice Address - Street 2:
Practice Address - City:ALPHARETTA
Practice Address - State:GA
Practice Address - Zip Code:30004-8048
Practice Address - Country:US
Practice Address - Phone:770-377-7628
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-09-12
Last Update Date:2024-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Single Specialty