| Amazing Milestones Behavioral Health Services, Llc | |
|
2081 Smith Pointe Dr Jacksonville FL 32218-3050 | |
| (904) 634-8676 | |
| Not Available |
| Full Name | Amazing Milestones Behavioral Health Services, Llc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 2081 Smith Pointe Dr, Jacksonville, Florida |
| Authorized Official Name and Position | Angela N Brown (CEO) |
| Authorized Official Contact | 9045686905 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Amazing Milestones Behavioral Health Services, Llc 2081 Smith Pointe Dr Jacksonville FL 32218-3050 Ph: (904) 634-8676 | Amazing Milestones Behavioral Health Services, Llc 2081 Smith Pointe Dr Jacksonville FL 32218-3050 Ph: (904) 634-8676 |
| NPI Number | 1932822194 |
|---|---|
| Provider Enumeration Date | 09/22/2022 |
| Last Update Date | 04/24/2023 |
| Certification Date | 04/24/2023 |
| Medicare PECOS PAC ID | 2567816069 |
|---|---|
| Medicare Enrollment ID | O20231003001547 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932822194 | NPI | - | NPPES |
| 1003450875 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | April Marie Felton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871827279 PECOS PAC ID: 0840460820 Enrollment ID: I20110830000577 |
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