Provider Demographics
NPI:1235369737
Name:MILOV, ALEX C (LMHC)
Entity Type:Individual
Prefix:
First Name:ALEX
Middle Name:C
Last Name:MILOV
Suffix:
Gender:M
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:463 43RD AVE NE
Mailing Address - Street 2:
Mailing Address - City:SAINT PETERSBURG
Mailing Address - State:FL
Mailing Address - Zip Code:33703-5015
Mailing Address - Country:US
Mailing Address - Phone:786-246-6202
Mailing Address - Fax:727-490-1281
Practice Address - Street 1:463 43RD AVE NE
Practice Address - Street 2:
Practice Address - City:SAINT PETERSBURG
Practice Address - State:FL
Practice Address - Zip Code:33703-5015
Practice Address - Country:US
Practice Address - Phone:786-246-6202
Practice Address - Fax:727-490-1281
Is Sole Proprietor?:Yes
Enumeration Date:2009-07-17
Last Update Date:2016-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH9918101Y00000X, 101YA0400X, 101YM0800X
FLRT9048227900000X, 2279C0205X, 2279P1004X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No101Y00000XBehavioral Health & Social Service ProvidersCounselor
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No227900000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRespiratory Therapist, Registered
No2279C0205XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRespiratory Therapist, RegisteredCritical Care
No2279P1004XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRespiratory Therapist, RegisteredPulmonary Diagnostics