Provider Demographics
NPI:1013078799
Name:PARTNERS IN BEHAVIORAL MILESTONES, INC.
Entity Type:Organization
Organization Name:PARTNERS IN BEHAVIORAL MILESTONES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:DAN
Authorized Official - Middle Name:WILLIAM
Authorized Official - Last Name:MATTHEWS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:816-501-5138
Mailing Address - Street 1:6412 E 87TH ST
Mailing Address - Street 2:
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64138-2773
Mailing Address - Country:US
Mailing Address - Phone:816-501-5138
Mailing Address - Fax:816-777-0626
Practice Address - Street 1:6412 E 87TH ST
Practice Address - Street 2:
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64138-2773
Practice Address - Country:US
Practice Address - Phone:816-501-5138
Practice Address - Fax:816-777-0626
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-13
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Single Specialty