Healthcare Provider Details

I. General information

NPI: 1033677125
Provider Name (Legal Business Name): ANNE NOELLE MILNE MPH, MSW, LCSW, CHES
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/07/2019
Last Update Date: 02/27/2023
Certification Date: 02/27/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1430 OLIVE ST STE 500
SAINT LOUIS MO
63103-2377
US

IV. Provider business mailing address

6405 FYLER AVE
SAINT LOUIS MO
63139-2038
US

V. Phone/Fax

Practice location:
  • Phone: 314-206-3784
  • Fax:
Mailing address:
  • Phone: 614-327-1181
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number2022040759
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: