Organization Active NPI

Milestone Family Resources

  • Community/Behavioral Health Agency
  • Mandeville, LA
National Provider Identifier
1669825766
Registry record updated Jul 13, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
6088 Issued in LA
Legal business name
MILESTONE FAMILY RESOURCES
Practice address
400 Mariners Plaza Dr
Suite 427
Mandeville, LA 70448-4798
Phone
(985) 951-2052
Fax
(985) 503-7345
NPI assigned
Jul 13, 2016
Last updated
Jul 13, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2016

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

Authorized official

Name
Donald Kirk Henderson, PLPC
Title
Owner
Phone
(985) 722-6219

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 6088 LA Primary

Addresses

Primary practice location

400 Mariners Plaza Dr
Suite 427
Mandeville, LA 70448-4798

Mailing address

400 Mariners Plaza Dr
Suite 427
Mandeville, LA 70448-4798
Phone (985) 951-2052

National Provider Directory

National Provider Directory

Locations

400 Mariners Plaza Dr
Ste 427
Mandeville, LA 70448
Phone (504) 756-1466

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1468368000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1468368000000",
    "number": "1669825766",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 MARINERS PLAZA DR",
            "address_2": "SUITE 427",
            "city": "MANDEVILLE",
            "state": "LA",
            "postal_code": "704484798",
            "telephone_number": "985-951-2052",
            "fax_number": "985-503-7345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 MARINERS PLAZA DR",
            "address_2": "SUITE 427",
            "city": "MANDEVILLE",
            "state": "LA",
            "postal_code": "704484798",
            "telephone_number": "985-951-2052",
            "fax_number": "985-503-7345"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILESTONE FAMILY RESOURCES",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-13",
        "last_updated": "2016-07-13",
        "status": "A",
        "authorized_official_last_name": "HENDERSON",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "KIRK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "985-722-6219",
        "authorized_official_credential": "PLPC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "LA",
            "license": "6088",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mandeville, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2016; 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.