| Milestone Psychiatry Inc. | |
|
208 W 8th St Pueblo CO 81003-3023 | |
| (719) 696-9149 | |
| Not Available |
| Full Name | Milestone Psychiatry Inc. |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 208 W 8th St, Pueblo, Colorado |
| Authorized Official Name and Position | Danielle Johns (OFFICE MANAGER) |
| Authorized Official Contact | 7194654819 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Milestone Psychiatry Inc. 5615 Constitution Ave Colorado Springs CO 80915-1218 Ph: (719) 465-2819 | Milestone Psychiatry Inc. 208 W 8th St Pueblo CO 81003-3023 Ph: (719) 696-9149 |
| NPI Number | 1447027776 |
|---|---|
| Provider Enumeration Date | 12/06/2023 |
| Last Update Date | 12/06/2023 |
| Certification Date | 12/06/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447027776 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | (* (Not Available)) | Secondary |
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