| The Milieu Therapeutic Services, Pc | |
|
1730 George Washington Mem Hwy Ste F-6 Yorktown VA 23693-4328 | |
| (833) 464-5438 | |
| Not Available |
| Full Name | The Milieu Therapeutic Services, Pc |
|---|---|
| Speciality | Counselor |
| Location | 1730 George Washington Mem Hwy Ste F-6, Yorktown, Virginia |
| Authorized Official Name and Position | Willard Allen Vaughn (CEO) |
| Authorized Official Contact | 8334645438 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| The Milieu Therapeutic Services, Pc 5007c Victory Blvd # 118 Yorktown VA 23693-5601 Ph: (833) 464-5438 | The Milieu Therapeutic Services, Pc 1730 George Washington Mem Hwy Ste F-6 Yorktown VA 23693-4328 Ph: (833) 464-5438 |
| NPI Number | 1679068597 |
|---|---|
| Provider Enumeration Date | 06/23/2018 |
| Last Update Date | 03/25/2022 |
| Certification Date | 03/15/2022 |
| Medicare PECOS PAC ID | 2668837147 |
|---|---|
| Medicare Enrollment ID | O20230505001798 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679068597 | NPI | - | NPPES |
| 079317721 | Medicaid | DC | |
| 30050538 | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Secondary |
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Willard Allen Vaughn |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1760637219 PECOS PAC ID: 2365873510 Enrollment ID: I20240617002813 |
Lakeside Center Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 6515 George Washington Mem Hwy, # 101, Yorktown, VA 23692 Phone: 757-714-1838 Fax: 757-321-6269 | |
Livingspring Neurology Center Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 109 Harrigan Way, Yorktown, VA 23693 Phone: 757-598-2123 | |
Richmond Medical Services Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 5007c Victory Blvd Ste 372, Yorktown, VA 23693 Phone: 202-904-3536 | |
Paragon Concierge Counseling Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 204 Kanawah Run, Yorktown, VA 23693 Phone: 757-876-4946 | |
Learning Solutions Consulting, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 517 Bridge Wood Dr, Yorktown, VA 23693 Phone: 757-817-7125 | |
Hampton Roads Counseling Services Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 6515 George Washington Mem Hwy, Ste 100, Yorktown, VA 23692 Phone: 757-651-0605 | |
Lloyd Cloud Therapy Services, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 5731 George Washington Mem Hwy Ste 4a, Yorktown, VA 23692 Phone: 860-301-1664 Fax: 757-890-6204 |