Provider Demographics
NPI:1467638353
Name:MILKS, PATRICIA A (LMHC)
Entity Type:Individual
Prefix:
First Name:PATRICIA
Middle Name:A
Last Name:MILKS
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:PATRICIA
Other - Middle Name:A
Other - Last Name:RUSINEK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1107 CHURCH RD
Mailing Address - Street 2:
Mailing Address - City:ANGOLA
Mailing Address - State:NY
Mailing Address - Zip Code:14006-8830
Mailing Address - Country:US
Mailing Address - Phone:716-523-4947
Mailing Address - Fax:716-302-4947
Practice Address - Street 1:391 WASHINGTON ST STE 8
Practice Address - Street 2:
Practice Address - City:BUFFALO
Practice Address - State:NY
Practice Address - Zip Code:14203-2108
Practice Address - Country:US
Practice Address - Phone:716-523-4947
Practice Address - Fax:716-302-4947
Is Sole Proprietor?:No
Enumeration Date:2008-01-10
Last Update Date:2023-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY004207101YM0800X, 101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health