Provider Demographics
NPI:1598798720
Name:VELINOVA-MORGAN, MILA (PSYD, LP)
Entity Type:Individual
Prefix:DR
First Name:MILA
Middle Name:
Last Name:VELINOVA-MORGAN
Suffix:
Gender:F
Credentials:PSYD, LP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2614 HUNTINGTON DR
Mailing Address - Street 2:
Mailing Address - City:LAKE ORION
Mailing Address - State:MI
Mailing Address - Zip Code:48360-2295
Mailing Address - Country:US
Mailing Address - Phone:248-505-4412
Mailing Address - Fax:586-997-9635
Practice Address - Street 1:43157 SCHOENHERR RD
Practice Address - Street 2:
Practice Address - City:STERLING HEIGHTS
Practice Address - State:MI
Practice Address - Zip Code:48313-1955
Practice Address - Country:US
Practice Address - Phone:248-505-4412
Practice Address - Fax:586-997-9635
Is Sole Proprietor?:No
Enumeration Date:2006-07-09
Last Update Date:2023-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6301013087103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI0G46345Medicare ID - Type UnspecifiedBLUE WATER MENTAL HEALTH