Provider Demographics
NPI:1649321910
Name:MILNER, MOLLIE M (LCSW)
Entity type:Individual
Prefix:MS
First Name:MOLLIE
Middle Name:M
Last Name:MILNER
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:51 PLEASANT RIDGE DR
Mailing Address - Street 2:
Mailing Address - City:ASHEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28805-2622
Mailing Address - Country:US
Mailing Address - Phone:919-299-0494
Mailing Address - Fax:
Practice Address - Street 1:119 HENDERSONVILLE RD
Practice Address - Street 2:
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28803-2868
Practice Address - Country:US
Practice Address - Phone:828-771-5500
Practice Address - Fax:828-251-0024
Is Sole Proprietor?:No
Enumeration Date:2007-01-15
Last Update Date:2012-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCCOO43511041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC139V2OtherBCBS OF NC PROVIDER NUMBE
NC2869964Medicare ID - Type UnspecifiedPERFORMING PROVIDER NUMBE