Healthcare Provider Details

I. General information

NPI: 1679726822
Provider Name (Legal Business Name): BRIAN MILLIKEN LMFT, LPCC
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/01/2008
Last Update Date: 08/16/2026
Certification Date: 08/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2074 GALISTEO ST STE B4
SANTA FE NM
87505-2157
US

IV. Provider business mailing address

3005 S SAINT FRANCIS DR STE 1D
SANTA FE NM
87505-7004
US

V. Phone/Fax

Practice location:
  • Phone: 505-557-6769
  • Fax:
Mailing address:
  • Phone: 505-557-6769
  • Fax: 866-593-5859

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number0157201
License Number StateNM
# 2
Primary TaxonomyN
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number0157981
License Number StateNM

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: