Provider Demographics
NPI:1619314002
Name:MILANO, TERESA ANN (LMFT)
Entity Type:Individual
Prefix:MRS
First Name:TERESA ANN
Middle Name:
Last Name:MILANO
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:MRS
Other - First Name:TERESA ANN
Other - Middle Name:
Other - Last Name:NAPOLITANO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:28 E OLD COUNTRY RD
Mailing Address - Street 2:
Mailing Address - City:HICKSVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:11801-4292
Mailing Address - Country:US
Mailing Address - Phone:516-413-8615
Mailing Address - Fax:
Practice Address - Street 1:28 E OLD COUNTRY RD
Practice Address - Street 2:
Practice Address - City:HICKSVILLE
Practice Address - State:NY
Practice Address - Zip Code:11801-4292
Practice Address - Country:US
Practice Address - Phone:516-413-8615
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-05-27
Last Update Date:2020-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY000548-1106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist