Provider Demographics
NPI:1457787335
Name:MORGAN, MILONI AND ASSOCIATES
Entity type:Organization
Organization Name:MORGAN, MILONI AND ASSOCIATES
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:JACQUELINE
Authorized Official - Middle Name:R
Authorized Official - Last Name:MORGAN
Authorized Official - Suffix:
Authorized Official - Credentials:LPC, NCC, CAADC
Authorized Official - Phone:706-399-3332
Mailing Address - Street 1:PO BOX 1654
Mailing Address - Street 2:
Mailing Address - City:THOMSON
Mailing Address - State:GA
Mailing Address - Zip Code:30824-5654
Mailing Address - Country:US
Mailing Address - Phone:706-399-3332
Mailing Address - Fax:
Practice Address - Street 1:654 MAIN ST
Practice Address - Street 2:SUITE 6
Practice Address - City:THOMSON
Practice Address - State:GA
Practice Address - Zip Code:30824-7403
Practice Address - Country:US
Practice Address - Phone:706-399-3332
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-09-23
Last Update Date:2013-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty
No101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Single Specialty
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Single Specialty