Milestone Supportive Services LLC

Primary specialty

Community Health Clinic/CenterTaxonomy code 261QC1500X

Legal business name

MILESTONE SUPPORTIVE SERVICES LLC

Practice address

13581 W Young St
Surprise, AZ 85374-5415

Phone

(602) 402-5946

NPI assigned

Aug 24, 2022

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ms. Erica Moon

Title

Ceo

Phone

(602) 402-5946

Specialties & licenses 2

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1661299200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661299200000",
    "number": "1144949934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13581 W YOUNG ST",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853745415",
            "telephone_number": "602-402-5946"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13581 W YOUNG ST",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853745415",
            "telephone_number": "602-402-5946"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILESTONE SUPPORTIVE SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-24",
        "last_updated": "2022-08-24",
        "certification_date": "2022-08-12",
        "status": "A",
        "authorized_official_last_name": "MOON",
        "authorized_official_first_name": "ERICA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "602-402-5946",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Miceli Family Therapy
• Maria Karina Mijares, RN
• Gregory David Mikut, ACNP
• Bonnie Janelle Milam, PHD
• Alisha Patrice Miles, NP
• Anna Miller, M.A, NCC, LPC
• Arielle Chelliece Kyara Miller
• Brinkley Kamalani Miller
• Connie Anne Miller, OTRL
• Emily Nicole Miller

• Community Health Clinic/Center in Surprise, AZ
• Providers in Surprise, AZ by specialty
• Community Health Clinic/Center in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.