Healthcare Provider Details

I. General information

NPI: 1457949877
Provider Name (Legal Business Name): ALEXANDRIA MILLIGAN LMFT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/03/2021
Last Update Date: 07/31/2026
Certification Date: 07/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

994 OLD EAGLE SCHOOL RD STE 1000
WAYNE PA
19087-1802
US

IV. Provider business mailing address

4267 SALMON ST
PHILADELPHIA PA
19137-1521
US

V. Phone/Fax

Practice location:
  • Phone: 267-422-2843
  • Fax:
Mailing address:
  • Phone: 267-432-0103
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License NumberMF001351
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: