Healthcare Provider Details

I. General information

NPI: 1215858519
Provider Name (Legal Business Name): ELENI MILLIKEN LPC-ASSOCIATE
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/22/2026
Last Update Date: 07/22/2026
Certification Date: 07/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9011 MOUNTAIN RIDGE DR STE 250
AUSTIN TX
78759-7640
US

IV. Provider business mailing address

1810 RALEIGH AVE
AUSTIN TX
78703-2622
US

V. Phone/Fax

Practice location:
  • Phone: 512-578-8070
  • Fax:
Mailing address:
  • Phone: 512-788-2302
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number102930
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: