Provider Demographics
NPI:1457116436
Name:MILBERG, RACHEL EMMA (MFT)
Entity Type:Individual
Prefix:
First Name:RACHEL
Middle Name:EMMA
Last Name:MILBERG
Suffix:
Gender:F
Credentials:MFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2100 WALNUT ST APT 4I
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19103-4889
Mailing Address - Country:US
Mailing Address - Phone:167-245-5855
Mailing Address - Fax:
Practice Address - Street 1:2100 WALNUT ST
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19103-4810
Practice Address - Country:US
Practice Address - Phone:516-724-5585
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-02-19
Last Update Date:2024-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health