Provider Demographics
NPI:1982831459
Name:MILBRATH, KATHY NADINE (MA, LMHC)
Entity Type:Individual
Prefix:MS
First Name:KATHY
Middle Name:NADINE
Last Name:MILBRATH
Suffix:
Gender:F
Credentials:MA, LMHC
Other - Prefix:MS
Other - First Name:KATHY
Other - Middle Name:NADINE
Other - Last Name:DOANE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MA, LMHC
Mailing Address - Street 1:828 JAMESTOWN DR
Mailing Address - Street 2:
Mailing Address - City:WINTER PARK
Mailing Address - State:FL
Mailing Address - Zip Code:32792-3627
Mailing Address - Country:US
Mailing Address - Phone:407-622-1722
Mailing Address - Fax:
Practice Address - Street 1:828 JAMESTOWN DR
Practice Address - Street 2:
Practice Address - City:WINTER PARK
Practice Address - State:FL
Practice Address - Zip Code:32792-3627
Practice Address - Country:US
Practice Address - Phone:407-622-1722
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-06-11
Last Update Date:2009-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH9653101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLMH9653Medicaid