MILESTONE INNOVATIVE SERVICES NPI 1295271039

NPI Information

  • NPI: 1295271039
  • Provider Name: MILESTONE INNOVATIVE SERVICES
  • Classification: Community/Behavioral Health - 251S00000X
  • Entity Type: Organization
  • Address: 618 E BOULEVARD
    WILLIAMSTON, NC
    ZIP 27892
  • Phone: (252) 792-0659

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NPI Details

MILESTONE INNOVATIVE SERVICES is a community behavioral health in Williamston, NC. The provider is a private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. MILESTONE INNOVATIVE SERVICES NPI is 1295271039. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

618 E BOULEVARD
WILLIAMSTON, NC
ZIP 27892-736
Phone: (252) 792-0659
Fax: (252) 792-0660

The provider's authorized official is Pamela Michelle Moore-hardison .
The authorized official title is President and has the following contact phone number (252) 799-1916.

The enumeration date for this NPI number is 1/18/2017 and was last updated on 6/10/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YA0400XCounselorAddiction (Substance Use Disorder)3185ANORTH CAROLINANo
2101YA0400XCounselorAddiction (Substance Use Disorder)No
3101YM0800XCounselorMental Health9919NORTH CAROLINANo
4101YM0800XCounselorMental HealthNo
51041C0700XSocial WorkerClinicalC010046NORTH CAROLINANo
61041C0700XSocial WorkerClinicalNo
7251S00000XCommunity/Behavioral HealthYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11544820OTHERNORTH CAROLINASTATE NC

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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