ELLISE DANIELLE MILBURN LPC NPI 1568928620

NPI Information

  • NPI: 1568928620
  • Provider Name: ELLISE DANIELLE MILBURN, LPC
  • Classification: Counselor - 101YM0800X
  • Specialization: Mental Health
  • Entity Type: Individual
  • Address: 3148 DERRY RD
    PHILADELPHIA, PA
    ZIP 19154
  • Phone: (215) 584-7393

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NPI Details

Ellise Danielle Milburn, LPC is a mental health counselor in Philadelphia, PA. Ellise Danielle Milburn, LPC NPI is 1568928620. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

3148 DERRY RD
PHILADELPHIA, PA
ZIP 19154-518
Phone: (215) 584-7393

The enumeration date for this NPI number is 2/13/2019 and was last updated on 10/18/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YM0800XCounselorMental HealthPC011044PENNSYLVANIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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