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Organization
1200 WEST LLC
Active
Organization
1200 WEST LLC
Active
Other names
Thriveworks
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FRED MILACCI D.ED (OWNER)
(434) 944-0487
Entity
Organization
Contact information
Practice address
106 SOUTHPARK DR STE C, BLACKSBURG, VA 24060-6809
(540) 376-3348
Mailing address
201 CREEKVIEW CT, LYNCHBURG, VA 24502-5341
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
10/16/2017
Last updated
10/16/2017
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