Healthcare Provider Details

I. General information

NPI: 1538383518
Provider Name (Legal Business Name): MILENA PADILLA-NOWAKOWSKI
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/12/2007
Last Update Date: 09/14/2026
Certification Date: 09/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

942 S SANTA FE ST
VISALIA CA
93292-2912
US

IV. Provider business mailing address

520 E TULARE AVE
VISALIA CA
93292-3629
US

V. Phone/Fax

Practice location:
  • Phone: 155-930-0095
  • Fax:
Mailing address:
  • Phone: 559-623-0900
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number StateNULL
# 2
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License NumberLMFT109031
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: