Provider Demographics
NPI:1316396088
Name:ABRAMS, MILLIANN (LMFTA, LCASA)
Entity Type:Individual
Prefix:
First Name:MILLIANN
Middle Name:
Last Name:ABRAMS
Suffix:
Gender:F
Credentials:LMFTA, LCASA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6 MANDY CT
Mailing Address - Street 2:
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27707-5518
Mailing Address - Country:US
Mailing Address - Phone:732-609-5087
Mailing Address - Fax:
Practice Address - Street 1:6 MANDY CT
Practice Address - Street 2:
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27707-5518
Practice Address - Country:US
Practice Address - Phone:732-609-5087
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-06-03
Last Update Date:2016-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC22671101YA0400X
NC11028A106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)