MEDICARE: PARTNERS IN BEHAVIORAL MILESTONES, INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101Y00000X	Counselor		MO

General Provider Information

NPI Number	:	1013078799
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PARTNERS IN BEHAVIORAL MILESTONES, INC.

Provider Business Mailing Address
First Line	:	6412 E 87TH ST
Second Line	:
City	:	KANSAS CITY
State	:	MO
Zip	:	64138-2773
Country	:	US
Telephone Number	:	816-501-5138
Fax Number	:	816-777-0626

Provider Business Practice Location Address
First Line	:	6412 E 87TH ST
Second Line	:
City	:	KANSAS CITY
State	:	MO
Zip	:	64138-2773
Country	:	US
Telephone Number	:	816-501-5138
Fax Number	:	816-777-0626

Authorized Official
Title or Position	:	CEO
Name	:	MR. DAN WILLIAM MATTHEWS
Credential	:
Telephone Number	:	816-501-5138

Provider Enumeration Date	:	12/13/2006
Last Update Date	:	07/21/2022

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