Provider Demographics
NPI:1720795016
Name:ZGALJIC-RAMIREZ, MILICA (LMHC, LCAT)
Entity Type:Individual
Prefix:MS
First Name:MILICA
Middle Name:
Last Name:ZGALJIC-RAMIREZ
Suffix:
Gender:F
Credentials:LMHC, LCAT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:109 LAFAYETTE ST RM C1
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10013-4138
Mailing Address - Country:US
Mailing Address - Phone:646-663-1458
Mailing Address - Fax:718-799-1103
Practice Address - Street 1:109 LAFAYETTE ST RM C1
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10013-4138
Practice Address - Country:US
Practice Address - Phone:646-663-1458
Practice Address - Fax:718-799-1103
Is Sole Proprietor?:Yes
Enumeration Date:2022-11-04
Last Update Date:2022-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY3154101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty