Organization
THE MILIEU THERAPEUTIC SERVICES, PC
Active
Other names
tmtsonline.com
Organization subpart
No
Provider details
NPI number
Authorized official
WILLARD ALLEN VAUGHN LPC (CEO)
(833) 464-5438
Entity
Organization
Contact information
Practice address
1730 GEORGE WASHINGTON MEM HWY STE F-6, YORKTOWN, VA 23693-4328
(833) 464-5438
Mailing address
5007C VICTORY BLVD # 118, YORKTOWN, VA 23693-5601
(833) 464-5438
(757) 578-8226
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
079317721
—
DC
05
—
30050538
—
IN
Enumeration date
06/23/2018
Last updated
03/25/2022
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