Provider Demographics
NPI:1407694391
Name:ARTIS REACHING MILESTONES THERAPY LLC
Entity type:Organization
Organization Name:ARTIS REACHING MILESTONES THERAPY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:LUCHANA
Authorized Official - Middle Name:MELVIN
Authorized Official - Last Name:ARTIS
Authorized Official - Suffix:
Authorized Official - Credentials:EDS, MBA, MAED
Authorized Official - Phone:252-360-6989
Mailing Address - Street 1:4248 MERCK RD W
Mailing Address - Street 2:
Mailing Address - City:WILSON
Mailing Address - State:NC
Mailing Address - Zip Code:27893-9604
Mailing Address - Country:US
Mailing Address - Phone:252-360-6989
Mailing Address - Fax:
Practice Address - Street 1:305 LILLIAN RD W
Practice Address - Street 2:
Practice Address - City:WILSON
Practice Address - State:NC
Practice Address - Zip Code:27893-3521
Practice Address - Country:US
Practice Address - Phone:252-399-0678
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-07-16
Last Update Date:2024-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes252Y00000XAgenciesEarly Intervention Provider Agency