Organization
CREATING MILESTONES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMIE LYNN MILES LCMHC (CEO)
(704) 777-9600
Entity
Organization
Contact information
Practice address
2710 S MAIN ST STE E, SALISBURY, NC 28147-7916
(704) 431-4393
Mailing address
2710 S MAIN ST STE E, SALISBURY, NC 28147-7916
(704) 431-4393
(704) 431-4628
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
10/29/2021
Last updated
10/30/2024
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