Provider Demographics
NPI:1013923986
Name:MILLIGAN, DEBRA A (LIMHP)
Entity Type:Individual
Prefix:
First Name:DEBRA
Middle Name:A
Last Name:MILLIGAN
Suffix:
Gender:F
Credentials:LIMHP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2909 N 37TH ST
Mailing Address - Street 2:
Mailing Address - City:NORFOLK
Mailing Address - State:NE
Mailing Address - Zip Code:68701-9290
Mailing Address - Country:US
Mailing Address - Phone:402-640-3574
Mailing Address - Fax:
Practice Address - Street 1:1010 RIVERSIDE BLVD STE B
Practice Address - Street 2:
Practice Address - City:NORFOLK
Practice Address - State:NE
Practice Address - Zip Code:68701-3027
Practice Address - Country:US
Practice Address - Phone:402-640-3574
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-31
Last Update Date:2023-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE1339101YM0800X, 101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE10026893400Medicaid
NE85208OtherBCBS
NE47083165926Medicaid