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NPI Code Detail

MEDICARE: MR. JOHNNY MILLA LPC

MEDICARE:  MR. JOHNNY  MILLA  LPC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health Counselor12428OK

General Provider Information

NPI Number : 1033936083
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. JOHNNY MILLA LPC
Provider Business Mailing Address
First Line : 17812 MORNING SKY CT
Second Line :
City : EDMOND
State : OK
Zip : 73012-8230
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 13101 MEMORIAL SPRINGS CT
Second Line :
City : OKLAHOMA CITY
State : OK
Zip : 73114-2228
Country : US
Telephone Number : 405-438-3000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/23/2024
Last Update Date : 04/14/2026

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Directions to “ MR. JOHNNY MILLA LPC” Practice Location

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