Healthcare Provider Details

I. General information

NPI: 1831944479
Provider Name (Legal Business Name): MILESTONES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/18/2024
Last Update Date: 04/18/2024
Certification Date: 04/18/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1044 OLD HIGHWAY 48 N
CUMBERLAND FURNACE TN
37051-5000
US

IV. Provider business mailing address

1044 OLD HIGHWAY 48 N
CUMBERLAND FURNACE TN
37051-5000
US

V. Phone/Fax

Practice location:
  • Phone: 615-316-1875
  • Fax:
Mailing address:
  • Phone: 615-326-1875
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DIANA NOLEN
Title or Position: HR DIRECTOR
Credential:
Phone: 615-326-1875