| Milestone Academy Llc | |
|
3055 Old Highway 8 Ste 305 Minneapolis MN 55418-2500 | |
| (612) 532-5512 | |
| Not Available |
| Full Name | Milestone Academy Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 3055 Old Highway 8 Ste 305, Minneapolis, Minnesota |
| Authorized Official Name and Position | Fardowsa A Omar (MANAGER) |
| Authorized Official Contact | 6122535512 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Milestone Academy Llc 3055 Old Highway 8 Ste 305 Minneapolis MN 55418-2500 Ph: (612) 532-5512 | Milestone Academy Llc 3055 Old Highway 8 Ste 305 Minneapolis MN 55418-2500 Ph: (612) 532-5512 |
| NPI Number | 1447842547 |
|---|---|
| Provider Enumeration Date | 02/09/2021 |
| Last Update Date | 02/09/2021 |
| Certification Date | 02/09/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447842547 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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