Provider Demographics
NPI:1376335182
Name:MIDWOOD COUNSELING, PLLC.
Entity type:Organization
Organization Name:MIDWOOD COUNSELING, PLLC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-OWNER
Authorized Official - Prefix:
Authorized Official - First Name:GABRIELLE
Authorized Official - Middle Name:
Authorized Official - Last Name:MILANDO
Authorized Official - Suffix:
Authorized Official - Credentials:MA
Authorized Official - Phone:410-382-0223
Mailing Address - Street 1:1201 CENTRAL AVE APT 305
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28204-2582
Mailing Address - Country:US
Mailing Address - Phone:410-382-0223
Mailing Address - Fax:
Practice Address - Street 1:120 GREENWICH RD
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28211-2314
Practice Address - Country:US
Practice Address - Phone:410-382-0223
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-05-19
Last Update Date:2025-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Multi-Specialty