MEDICARE: CHRISTINA MERIE MILUCKY LMFT, LAADC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YA0400X	Addiction (Substance Use Disorder) Counselor	112314	CA
2	106H00000X	Marriage & Family Therapist	93193	CA

General Provider Information

NPI Number	:	1760918056
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHRISTINA MERIE MILUCKY LMFT, LAADC

Provider Business Mailing Address
First Line	:	10012 SPAR CIR
Second Line	:
City	:	HUNTINGTON BEACH
State	:	CA
Zip	:	92646-7401
Country	:	US
Telephone Number	:	323-841-0100
Fax Number	:

Provider Business Practice Location Address
First Line	:	5015 BIRCH ST
Second Line	:	SUITE 115
City	:	NEWPORT BEACH
State	:	CA
Zip	:	92660-2162
Country	:	US
Telephone Number	:	323-841-0100
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/04/2017
Last Update Date	:	08/01/2021

Similar Medicare Providers

1659478568 — MS. JESSICA JONES ST.CLAIR MFT
Practice Location Address:

5015 BIRCH ST
NEWPORT BEACH, CA
92660-2162

Practice Phone: 714-227-2420
Practice Fax: 714-568-1111

1528259553 — DR. ELLEN R VAN ECK PHD
Practice Location Address:

5015 BIRCH STREET
NEWPORT BEACH, CA
92660-2162

Practice Phone: 949-887-4166
Practice Fax:

1598305146 — HEALING THROUGH PSYCHOTHERAPY, INC
Practice Location Address:

5015 BIRCH ST
NEWPORT BEACH, CA
92660-2162

Practice Phone: 949-887-4166
Practice Fax:

1427683499 — TIARE BROCK LMFT
Practice Location Address:

5015 BIRCH ST
NEWPORT BEACH, CA
92660-2162

Practice Phone: 949-874-2927
Practice Fax:

1609159193 — IMPACT HEALTH & WELLNESS LLC
Practice Location Address:

2025 NEWPORT BLVD , SUITE 110
COSTA MESA, CA
92627-2162

Practice Phone: 949-954-6225
Practice Fax:

1316918329 — MS. JILL MARIE SHUTES ARNP
Practice Location Address:

15300 JOG RD , SUITE 205
DELRAY BEACH, FL
33446-2162

Practice Phone: 561-496-7200
Practice Fax:

Directions to “ CHRISTINA MERIE MILUCKY LMFT, LAADC” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.