Millennial Services of NC at Rockingham

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

Legal business name

MILLENNIAL SERVICES OF NC AT ROCKINGHAM

Practice address

510 S Tipton PL
Reidsville, NC 27320-3039

Phone

(336) 587-2931

NPI assigned

Jun 29, 2020

Last updated

Jun 29, 2020By the provider in NPPES

Organization subpart

Yes

Parent organization

MILLENNIAL SERVICES OF NCAs reported in NPPES

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Ronald Flack Jr., MA, PHD, ICADC, NCAC

Title

Owner

Phone

(336) 587-2931

Specialties & licenses 2

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1593388800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1593388800000",
    "number": "1801413687",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1520 BOWMORE PL",
            "city": "MC LEANSVILLE",
            "state": "NC",
            "postal_code": "273019248",
            "telephone_number": "033-658-7293"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "510 S TIPTON PL",
            "city": "REIDSVILLE",
            "state": "NC",
            "postal_code": "273203039",
            "telephone_number": "336-587-2931"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILLENNIAL SERVICES OF NC AT ROCKINGHAM",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MILLENNIAL SERVICES OF NC",
        "enumeration_date": "2020-06-29",
        "last_updated": "2020-06-29",
        "certification_date": "2020-06-29",
        "status": "A",
        "authorized_official_last_name": "FLACK",
        "authorized_official_first_name": "RONALD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "336-587-2931",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "MA, PHD, ICADC, NCAC"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Benjamin Ivan McKinney, DPM
• Valarie C McNair, NCC, LPC-A
• Metropolitan Milestones Center, LLC
• Metropolitan Milestones Therapy, PLLC
• Robert Edward Middleton, MA LPA
• Kerri Lee Miller, MS, MDIV, LCMHC
• Hannah Marie Mills, AGPCNP-BC
• David Jan Mitchell
• Monarch
• Cheyenne Chaqwana Moore

• Addiction (Substance Use Disorder) Counselor in Reidsville, NC
• Providers in Reidsville, NC by specialty
• Addiction (Substance Use Disorder) Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.