Healthcare Provider Details

I. General information

NPI: 1932076858
Provider Name (Legal Business Name): BARBARA MILLIGAN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/23/2025
Last Update Date: 10/23/2025
Certification Date: 10/23/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5130 LINCOLN AVE # 137
EVANSVILLE IN
47715-4116
US

IV. Provider business mailing address

7509 OLIVE ST
EVANSVILLE IN
47715-3775
US

V. Phone/Fax

Practice location:
  • Phone: 812-477-7816
  • Fax:
Mailing address:
  • Phone: 812-610-4637
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number34008060A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: