MEDICARE: ELIZABETH J MILVO 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
1	101YM0800X	Mental Health Counselor	15550	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1821173402
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ELIZABETH J MILVO LPC

Provider Business Mailing Address
First Line	:	2731 NACOGDOCHES RD
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78217-5830
Country	:	US
Telephone Number	:	210-675-0066
Fax Number	:	210-247-9611

Provider Business Practice Location Address
First Line	:	2731 NACOGDOCHES RD
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78217-5830
Country	:	US
Telephone Number	:	210-675-0066
Fax Number	:	210-247-9611

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/25/2006
Last Update Date	:	01/08/2016

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