Organization
MILESTONE COUNSELING SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRIAN K CAMPBELL LMFT (CEO)
(801) 782-6600
Entity
Organization
Contact information
Practice address
3149 N HWY 89 STE 303, PLEASANT VIEW, UT 84404-1202
(801) 782-6600
(801) 782-6551
Mailing address
3149 N HWY 89 STE 303, PLEASANT VIEW, UT 84404-1202
(801) 782-6600
(801) 782-6551
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
352006-3902
UT
320800000X
Mental Illness Community Based Residential Treatment Facility
352006-3902
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
788007788945
—
UT
Enumeration date
09/20/2007
Last updated
09/20/2007
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