Provider Demographics
NPI:1689948945
Name:MILFORD COUNSELING AND CONSULTATION LLC
Entity Type:Organization
Organization Name:MILFORD COUNSELING AND CONSULTATION LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRINCIPAL
Authorized Official - Prefix:
Authorized Official - First Name:ROBIN
Authorized Official - Middle Name:ANNE
Authorized Official - Last Name:ENGELS
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:570-296-5184
Mailing Address - Street 1:104 BENNETT AVE STE 2D
Mailing Address - Street 2:
Mailing Address - City:MILFORD
Mailing Address - State:PA
Mailing Address - Zip Code:18337-9760
Mailing Address - Country:US
Mailing Address - Phone:570-296-5184
Mailing Address - Fax:570-409-3217
Practice Address - Street 1:104 BENNETT AVE STE 2D
Practice Address - Street 2:
Practice Address - City:MILFORD
Practice Address - State:PA
Practice Address - Zip Code:18337-9760
Practice Address - Country:US
Practice Address - Phone:570-296-5184
Practice Address - Fax:570-409-3217
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-03-05
Last Update Date:2012-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PACW017094251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health