MEDICARE: MILESTONE BEHAVIORAL HEALTH SERVICES INC.

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	101YS0200X	School Counselor
2	101Y00000X	Counselor
3	101YA0400X	Addiction (Substance Use Disorder) Counselor
4	106H00000X	Marriage & Family Therapist
5	103K00000X	Behavior Analyst
6	104100000X	Social Worker
7	1041C0700X	Clinical Social Worker
8	1041S0200X	School Social Worker
9	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1952938870
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MILESTONE BEHAVIORAL HEALTH SERVICES INC.

Provider Business Mailing Address
First Line	:	2 BUNKER CIR
Second Line	:
City	:	SPRINGFIELD
State	:	MA
Zip	:	01108-3473
Country	:	US
Telephone Number	:	413-335-3535
Fax Number	:

Provider Business Practice Location Address
First Line	:	1029 NORTH RD
Second Line	:
City	:	WESTFIELD
State	:	MA
Zip	:	01085-9711
Country	:	US
Telephone Number	:	413-335-2525
Fax Number	:

Authorized Official
Title or Position	:	DIRECTOR
Name	:	SCOTT SMITH
Credential	:
Telephone Number	:	413-335-2525

Provider Enumeration Date	:	03/23/2020
Last Update Date	:	09/02/2020

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