Healthcare Provider Details

I. General information

NPI: 1003743501
Provider Name (Legal Business Name): MILAGRO BEHNY LMHC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/07/2026
Last Update Date: 07/14/2026
Certification Date: 07/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

120 W MCKENZIE RD STE G
GREENFIELD IN
46140-1072
US

IV. Provider business mailing address

697 PRO MED LN
CARMEL IN
46032-5323
US

V. Phone/Fax

Practice location:
  • Phone: 317-574-1254
  • Fax:
Mailing address:
  • Phone: 317-574-1254
  • Fax: 317-674-0060

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number39005989A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: