Provider Demographics
NPI:1891490793
Name:MILNE, ANELADEE (ACMHC)
Entity Type:Individual
Prefix:
First Name:ANELADEE
Middle Name:
Last Name:MILNE
Suffix:
Gender:F
Credentials:ACMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1361 N 1075 W STE 210
Mailing Address - Street 2:
Mailing Address - City:FARMINGTON
Mailing Address - State:UT
Mailing Address - Zip Code:84025-3059
Mailing Address - Country:US
Mailing Address - Phone:801-864-2893
Mailing Address - Fax:
Practice Address - Street 1:1919 DECATUR DR
Practice Address - Street 2:
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40218-2454
Practice Address - Country:US
Practice Address - Phone:801-864-2893
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-04-03
Last Update Date:2023-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT11939881-6009101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health