Healthcare Provider Details

I. General information

NPI: 1598691362
Provider Name (Legal Business Name): MILIA GASH
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/19/2026
Last Update Date: 06/19/2026
Certification Date: 06/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2590 HIGHWAY 1
THIBODAUX LA
70301-5843
US

IV. Provider business mailing address

2590 HIGHWAY 1
THIBODAUX LA
70301-5843
US

V. Phone/Fax

Practice location:
  • Phone: 985-313-1093
  • Fax: 985-313-1092
Mailing address:
  • Phone: 985-313-1093
  • Fax: 985-313-1092

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number11301
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: