MEDICARE: MILESTONE FAMILY SOLUTIONS, LLC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	106E00000X	Assistant Behavior Analyst
2	101YM0800X	Mental Health Counselor
3	104100000X	Social Worker
4	1041C0700X	Clinical Social Worker
5	106H00000X	Marriage & Family Therapist
6	106S00000X	Behavior Technician
7	103K00000X	Behavior Analyst

General Provider Information

NPI Number	:	1982584777
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MILESTONE FAMILY SOLUTIONS, LLC

Provider Business Mailing Address
First Line	:	6960 O'BANNON DR STE 110
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89117-2160
Country	:	US
Telephone Number	:	702-237-8600
Fax Number	:

Provider Business Practice Location Address
First Line	:	6960 O'BANNON DR STE 110
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89117-2160
Country	:	US
Telephone Number	:	702-237-8600
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	STACI FRAZIER
Credential	:
Telephone Number	:	702-237-8600

Provider Enumeration Date	:	09/03/2025
Last Update Date	:	09/25/2025

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Directions to “MILESTONE FAMILY SOLUTIONS, LLC ” Practice Location

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