Provider Demographics
NPI:1699248948
Name:MILESTONES BEHAVIORAL HEALTH CENTER, INC.
Entity type:Organization
Organization Name:MILESTONES BEHAVIORAL HEALTH CENTER, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:THERAPIST
Authorized Official - Prefix:MRS
Authorized Official - First Name:JEANETTE
Authorized Official - Middle Name:
Authorized Official - Last Name:PHILIPP PIZARRO
Authorized Official - Suffix:
Authorized Official - Credentials:RMHCI
Authorized Official - Phone:305-735-8499
Mailing Address - Street 1:22541 SW 88TH PL UNIT 102
Mailing Address - Street 2:
Mailing Address - City:CUTLER BAY
Mailing Address - State:FL
Mailing Address - Zip Code:33190-2016
Mailing Address - Country:US
Mailing Address - Phone:305-851-1186
Mailing Address - Fax:786-460-8555
Practice Address - Street 1:22541 SW 88TH PL UNIT 102
Practice Address - Street 2:
Practice Address - City:CUTLER BAY
Practice Address - State:FL
Practice Address - Zip Code:33190-2016
Practice Address - Country:US
Practice Address - Phone:305-735-8499
Practice Address - Fax:786-460-8555
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-01-09
Last Update Date:2019-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty