Amazing Milestones Behavioral Health Services, LLC
Community/Behavioral Health in Jacksonville, FL. Organization (NPI-2).
NPI number1932822194
StatusActive
Last updated in NPPESApr 24, 2023
Details
- NPI
- 1932822194
- Entity type
- Organization (NPI-2)
- Legal business name
- Amazing Milestones Behavioral Health Services, LLC
- Organization subpart
- No
- Enumeration date
- Sep 22, 2022
- Certification date
- Apr 24, 2023
- Last updated
- Apr 24, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 251S00000X | Community/Behavioral Health | – | – | Yes |
| 101YA0400X | Counselor, Addiction (Substance Use Disorder) | – | – |
Practice location
2081 Smith Pointe DrJacksonville, FL 32218-3050
Phone 904-634-8676
Mailing address
2081 Smith Pointe DrJacksonville, FL 32218-3050
Phone 904-634-8676
Authorized official
Angela N Brown
Ceo
9045686905
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