Healthcare Provider Details
I. General information
NPI: 1619050499
Provider Name (Legal Business Name): TERRIANA RIANA MILNE LMHC, LPC, CAP, CERT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 10/23/2006
Last Update Date: 03/20/2015
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
15300 JOG RD SUITE 109 THERAPY BY THE SEA
DELRAY BEACH FL
33446
US
IV. Provider business mailing address
15300 JOG RD SUITE 109 THERAPY BY THE SEA
DELRAY BEACH FL
33446
US
V. Phone/Fax
- Phone: 561-701-8277
- Fax: 561-499-3775
- Phone: 561-701-8277
- Fax: 561-499-3775
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 101YA0400X |
| Taxonomy | Addiction (Substance Use Disorder) Counselor |
| License Number | 37LC00091200 |
| License Number State | NJ |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 101YM0800X |
| Taxonomy | Mental Health Counselor |
| License Number | 37PC00049500 |
| License Number State | NJ |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 101YP1600X |
| Taxonomy | Pastoral Counselor |
| License Number | |
| License Number State | NJ |
| # 4 | |
| Primary Taxonomy | N |
| Taxonomy Code | 101YP2500X |
| Taxonomy | Professional Counselor |
| License Number | 37PC00049500 |
| License Number State | NJ |
| # 5 | |
| Primary Taxonomy | N |
| Taxonomy Code | 101YS0200X |
| Taxonomy | School Counselor |
| License Number | 541878 |
| License Number State | NJ |
| # 6 | |
| Primary Taxonomy | N |
| Taxonomy Code | 106H00000X |
| Taxonomy | Marriage & Family Therapist |
| License Number | 37PC00049500 |
| License Number State | NJ |
| # 7 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 106H00000X |
| Taxonomy | Marriage & Family Therapist |
| License Number | LMHC-MH12148 |
| License Number State | FL |
| # 8 | |
| Primary Taxonomy | N |
| Taxonomy Code | 101YM0800X |
| Taxonomy | Mental Health Counselor |
| License Number | |
| License Number State | |
| # 9 | |
| Primary Taxonomy | N |
| Taxonomy Code | 101YA0400X |
| Taxonomy | Addiction (Substance Use Disorder) Counselor |
| License Number | CAP-5808 |
| License Number State | FL |
| # 10 | |
| Primary Taxonomy | N |
| Taxonomy Code | 101YP2500X |
| Taxonomy | Professional Counselor |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: