Provider Demographics
NPI:1952515082
Name:MILESTONES INCORPORATED
Entity Type:Organization
Organization Name:MILESTONES INCORPORATED
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER, CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:YOLONDA
Authorized Official - Middle Name:M
Authorized Official - Last Name:KNIGHT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:318-688-6370
Mailing Address - Street 1:6007 FINANCIAL PLZ
Mailing Address - Street 2:SUITE 5C
Mailing Address - City:SHREVEPORT
Mailing Address - State:LA
Mailing Address - Zip Code:71129-2655
Mailing Address - Country:US
Mailing Address - Phone:318-688-6370
Mailing Address - Fax:318-688-2730
Practice Address - Street 1:6007 FINANCIAL PLZ
Practice Address - Street 2:SUITE 5C
Practice Address - City:SHREVEPORT
Practice Address - State:LA
Practice Address - Zip Code:71129-2655
Practice Address - Country:US
Practice Address - Phone:318-688-6370
Practice Address - Fax:318-688-2730
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-09
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes305R00000XManaged Care OrganizationsPreferred Provider Organization