Provider Demographics
NPI:1023774098
Name:MILESTONE MENTAL HEALTH INC.
Entity type:Organization
Organization Name:MILESTONE MENTAL HEALTH INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MARRIAGE & FAMILY THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:RACHEL
Authorized Official - Middle Name:
Authorized Official - Last Name:MILAN
Authorized Official - Suffix:
Authorized Official - Credentials:MA, LMFT
Authorized Official - Phone:651-428-4073
Mailing Address - Street 1:2400 HENSLOW CT N
Mailing Address - Street 2:
Mailing Address - City:OAKDALE
Mailing Address - State:MN
Mailing Address - Zip Code:55128-5016
Mailing Address - Country:US
Mailing Address - Phone:651-428-4073
Mailing Address - Fax:651-344-4375
Practice Address - Street 1:6230 10TH ST N STE 120
Practice Address - Street 2:
Practice Address - City:OAKDALE
Practice Address - State:MN
Practice Address - Zip Code:55128-6159
Practice Address - Country:US
Practice Address - Phone:651-500-2389
Practice Address - Fax:651-344-4375
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-11-12
Last Update Date:2021-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty