Provider Demographics
NPI:1932506532
Name:MILIAN, RICHARD (LCDC)
Entity Type:Individual
Prefix:
First Name:RICHARD
Middle Name:
Last Name:MILIAN
Suffix:
Gender:M
Credentials:LCDC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5642 COUNTY ROAD 823
Mailing Address - Street 2:
Mailing Address - City:WEST COLUMBIA
Mailing Address - State:TX
Mailing Address - Zip Code:77486-9388
Mailing Address - Country:US
Mailing Address - Phone:979-549-0889
Mailing Address - Fax:979-549-0878
Practice Address - Street 1:120 E PLUM ST
Practice Address - Street 2:
Practice Address - City:ANGLETON
Practice Address - State:TX
Practice Address - Zip Code:77515-6012
Practice Address - Country:US
Practice Address - Phone:979-549-0889
Practice Address - Fax:979-549-0878
Is Sole Proprietor?:No
Enumeration Date:2014-11-25
Last Update Date:2014-11-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX12577101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)