Healthcare Provider Details

I. General information

NPI: 1538022652
Provider Name (Legal Business Name): TRINITY MILLIKEN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/05/2025
Last Update Date: 05/18/2026
Certification Date: 05/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

841 STEUBENVILLE AVE
CAMBRIDGE OH
43725-2301
US

IV. Provider business mailing address

841 STEUBENVILLE AVE
CAMBRIDGE OH
43725-2301
US

V. Phone/Fax

Practice location:
  • Phone: 855-692-7247
  • Fax: 855-692-7247
Mailing address:
  • Phone: 855-692-7247
  • Fax: 855-692-7247

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License NumberCDCA.194507
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: