Provider Demographics
NPI:1245907039
Name:LITTLE MILESTONES LLC
Entity type:Organization
Organization Name:LITTLE MILESTONES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EARLY INTERVENTION SPECIALIST
Authorized Official - Prefix:
Authorized Official - First Name:MIKAYLA
Authorized Official - Middle Name:
Authorized Official - Last Name:WHITE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:843-503-1074
Mailing Address - Street 1:109 MOUNTAIN ASH LN UNIT C
Mailing Address - Street 2:
Mailing Address - City:MYRTLE BEACH
Mailing Address - State:SC
Mailing Address - Zip Code:29579-3490
Mailing Address - Country:US
Mailing Address - Phone:843-503-1074
Mailing Address - Fax:
Practice Address - Street 1:109 MOUNTAIN ASH LN UNIT C
Practice Address - Street 2:
Practice Address - City:MYRTLE BEACH
Practice Address - State:SC
Practice Address - Zip Code:29579-3490
Practice Address - Country:US
Practice Address - Phone:843-503-1074
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-08-27
Last Update Date:2021-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes252Y00000XAgenciesEarly Intervention Provider Agency