Provider Demographics
NPI:1518501634
Name:MILORD THERAPY & CONSULTING SERVICES, LLC
Entity Type:Organization
Organization Name:MILORD THERAPY & CONSULTING SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DEMENNA
Authorized Official - Middle Name:
Authorized Official - Last Name:MILORD
Authorized Official - Suffix:
Authorized Official - Credentials:LMHC
Authorized Official - Phone:561-203-6570
Mailing Address - Street 1:4905 SABLE PINE CIR APT A1
Mailing Address - Street 2:
Mailing Address - City:WEST PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33417-3124
Mailing Address - Country:US
Mailing Address - Phone:561-203-6570
Mailing Address - Fax:
Practice Address - Street 1:4905 SABLE PINE CIR APT A1
Practice Address - Street 2:
Practice Address - City:WEST PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33417-3124
Practice Address - Country:US
Practice Address - Phone:561-203-6570
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-10-31
Last Update Date:2019-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLMH15905OtherLICENSED MENTAL HEALTH COUNSELOR ID NUMBER