| Organization Name: | MILESTONE COUNSELING LLC |
| NPI Number: | 1114398914 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | REBECCA LYNN BERT (OWNER/COUNSELOR) |
| Mailing Address: | 150 Bw Thomas Dr Ste 105 Fort Mill |
| State: | SC US |
| Postal Code: | 297087230 |
| Phone Number: | 8036161691 |
| Fax Number: | |
| NPI Enumeration Date: | 10/19/2015 |
| NPI Last Update Date: | 10/19/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | 6173 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | SC |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |