Provider Demographics
NPI:1316563000
Name:MILESTONES BEHAVIORAL HEALTH SERVICES
Entity Type:Organization
Organization Name:MILESTONES BEHAVIORAL HEALTH SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER, NURSE PRACTITIONER
Authorized Official - Prefix:
Authorized Official - First Name:NATASCHA
Authorized Official - Middle Name:R
Authorized Official - Last Name:JEFFRIES
Authorized Official - Suffix:
Authorized Official - Credentials:FNP, PMHNP
Authorized Official - Phone:502-544-9450
Mailing Address - Street 1:939 GEORGETOWNE DR
Mailing Address - Street 2:
Mailing Address - City:O FALLON
Mailing Address - State:IL
Mailing Address - Zip Code:62269-3414
Mailing Address - Country:US
Mailing Address - Phone:502-544-9450
Mailing Address - Fax:
Practice Address - Street 1:939 GEORGETOWNE DR
Practice Address - Street 2:
Practice Address - City:O FALLON
Practice Address - State:IL
Practice Address - Zip Code:62269-3414
Practice Address - Country:US
Practice Address - Phone:502-544-9450
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-06-18
Last Update Date:2020-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM1300XAmbulatory Health Care FacilitiesClinic/CenterMulti-Specialty