Provider Demographics
NPI:1154878320
Name:VILLAFANE FELICIANO, MILAGROS MARIE (MA, LPC, NCC, CAS)
Entity type:Individual
Prefix:MRS
First Name:MILAGROS
Middle Name:MARIE
Last Name:VILLAFANE FELICIANO
Suffix:
Gender:F
Credentials:MA, LPC, NCC, CAS
Other - Prefix:
Other - First Name:MILLIE
Other - Middle Name:MARIE
Other - Last Name:VILLAFANE
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:130 CASTILLOS DEL MAR
Mailing Address - Street 2:
Mailing Address - City:CEIBA
Mailing Address - State:PR
Mailing Address - Zip Code:00735-3620
Mailing Address - Country:US
Mailing Address - Phone:787-600-7556
Mailing Address - Fax:
Practice Address - Street 1:17590 E ARAPAHOE RD
Practice Address - Street 2:
Practice Address - City:FOXFIELD
Practice Address - State:CO
Practice Address - Zip Code:80016-1507
Practice Address - Country:US
Practice Address - Phone:787-600-7556
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-09-06
Last Update Date:2024-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COACC.0020925101YA0400X
PR1543101YP2500X
COLPC.0020965101YP2500X
COLPCC.0018912101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)