Provider Demographics
NPI:1427358977
Name:MILKE, MEREDITH MACY (MA, LMFT, LPC)
Entity Type:Individual
Prefix:MRS
First Name:MEREDITH
Middle Name:MACY
Last Name:MILKE
Suffix:
Gender:F
Credentials:MA, LMFT, LPC
Other - Prefix:MS
Other - First Name:MEREDITH
Other - Middle Name:GORDON
Other - Last Name:MACY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MA, LMFT, LPC
Mailing Address - Street 1:109 CONNOR DRIVE, BUILDING III
Mailing Address - Street 2:SUITE 107
Mailing Address - City:CHAPEL HILL
Mailing Address - State:NC
Mailing Address - Zip Code:27514-2829
Mailing Address - Country:US
Mailing Address - Phone:919-623-0181
Mailing Address - Fax:
Practice Address - Street 1:109 CONNOR DRIVE, BUILDING III
Practice Address - Street 2:SUITE 107
Practice Address - City:CHAPEL HILL
Practice Address - State:NC
Practice Address - Zip Code:27514-2829
Practice Address - Country:US
Practice Address - Phone:919-623-0181
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-11-01
Last Update Date:2016-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC9211101YP2500X
NC1616106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional