Provider Demographics
NPI:1326199068
Name:MILTON, ALICIA RENAE (LPC)
Entity Type:Individual
Prefix:MS
First Name:ALICIA
Middle Name:RENAE
Last Name:MILTON
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:MS
Other - First Name:ALICIA
Other - Middle Name:RENAE
Other - Last Name:EVANS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LPC
Mailing Address - Street 1:10 CORPORATE HILL DR., SUITE 330
Mailing Address - Street 2:
Mailing Address - City:LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72205-4528
Mailing Address - Country:US
Mailing Address - Phone:501-954-7470
Mailing Address - Fax:501-954-7420
Practice Address - Street 1:333 EXECUTIVE CT STE 200
Practice Address - Street 2:
Practice Address - City:LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72205
Practice Address - Country:US
Practice Address - Phone:501-526-8008
Practice Address - Fax:501-526-8047
Is Sole Proprietor?:No
Enumeration Date:2007-01-16
Last Update Date:2018-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARP0406025101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health