Organization
THE MILIEU THERAPEUTIC SERVICES, ,PC
Active
Parent organization
THE MILIEU THERAPEUTIC SERVICES, PC
Other names
TMTS Special Operations
Organization subpart
Yes
Provider details
NPI number
Legal business name
THE MILIEU THERAPEUTIC SERVICES, PC
Authorized official
WILLARD A 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
(757) 578-8226
Mailing address
5007C VICTORY BLVD # 118, YORKTOWN, VA 23693-5601
(833) 464-5438
(757) 578-8226
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
1041C0700X
Clinical Social Worker
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30015303970004
—
VA
01
—
5253-07-006
DBHDS PROVIDER LICENSE
VA
Enumeration date
02/15/2023
Last updated
06/15/2023
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