Milestone Recovery LLC

Primary specialty

Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X

Legal business name

MILESTONE RECOVERY LLC

Practice address

2001 Walnut LN
Monroe, NC 28112-7333

Phone

(704) 207-6266

NPI assigned

Sep 29, 2015

Last updated

Sep 29, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Brack Jefferys, PH.D.

Title

Consultant

Phone

(828) 273-1643

Specialties & licenses 2

Addresses

Tax ID family

Milestone Recovery LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Milestone Recovery Services LLC

  • Addiction (Substance Use Disorder) Counselor
  • Troy, NC
  • NPI 1720448665
  NPD tax ID

Locations

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

{
    "created_epoch": "1443484800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1443484800000",
    "number": "1942670336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 N MAIN ST # B",
            "city": "TROY",
            "state": "NC",
            "postal_code": "273713061",
            "telephone_number": "704-207-6266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 WALNUT LN",
            "city": "MONROE",
            "state": "NC",
            "postal_code": "281127333",
            "telephone_number": "704-207-6266"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILESTONE RECOVERY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-29",
        "last_updated": "2015-09-29",
        "status": "A",
        "authorized_official_last_name": "JEFFERYS",
        "authorized_official_first_name": "BRACK",
        "authorized_official_title_or_position": "CONSULTANT",
        "authorized_official_telephone_number": "828-273-1643",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NC",
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "NC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eyob E. Michail, MD
• Adam Dean Mickey, PA
• Mid-Carolina Neurology, P.a.
• Mighty Minds LLC
• Joanna Mikulski, MA, CCC-SLP
• Anna Katherine Johnson Miller
• Cynthia Ann Miller, L.P.C.
• Helen Miller
• Tony Lemar Miller, NP
• Marci Gail Milne, OTR

• Substance Use Disorder Rehabilitation Clinic/Center in Monroe, NC
• Providers in Monroe, NC by specialty
• Substance Use Disorder Rehabilitation Clinic/Center in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2015; 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.