# MILESTONE ACADEMY LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1447842547
- **Authorized official:** FARDOWSA A OMAR (MANAGER)
- **Authorized official phone:** (612) 253-5512

## Contact information

- **Practice address:** 3055 OLD HIGHWAY 8 STE 305, MINNEAPOLIS, MN 55418-2500
- **Practice address phone:** (612) 532-5512
- **Mailing address:** 3055 OLD HIGHWAY 8 STE 305, MINNEAPOLIS, MN 55418-2500
- **Mailing address phone:** (612) 532-5512

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | — | NULL | Yes |
| 101YM0800X | Mental Health Counselor | — | — | Yes |

## Other

- **Enumeration date:** 02/09/2021
- **Last updated:** 02/09/2021