Healthcare Provider Details

I. General information

NPI: 1649321910
Provider Name (Legal Business Name): MOLLIE M. MILNER LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/15/2007
Last Update Date: 01/12/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

119 HENDERSONVILLE RD
ASHEVILLE NC
28803-2868
US

IV. Provider business mailing address

51 PLEASANT RIDGE DR
ASHEVILLE NC
28805-2622
US

V. Phone/Fax

Practice location:
  • Phone: 828-771-5500
  • Fax: 828-251-0024
Mailing address:
  • Phone: 919-299-0494
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberCOO4351
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: