Provider Demographics
NPI:1891954954
Name:MILESTONE CONSULTING GROUP
Entity type:Organization
Organization Name:MILESTONE CONSULTING GROUP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:MARCO
Authorized Official - Middle Name:NAPOLEON
Authorized Official - Last Name:LEON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:919-601-7897
Mailing Address - Street 1:3400 WHITE SOCK LN APT 203
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27610-5161
Mailing Address - Country:US
Mailing Address - Phone:919-601-7897
Mailing Address - Fax:
Practice Address - Street 1:3400 WHITE SOCK LN APT 203
Practice Address - Street 2:
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27610-5161
Practice Address - Country:US
Practice Address - Phone:919-601-7897
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-06-04
Last Update Date:2008-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Multi-Specialty