Provider Demographics
NPI:1215177050
Name:MILONAS, ATHENA (LMSW)
Entity type:Individual
Prefix:MISS
First Name:ATHENA
Middle Name:
Last Name:MILONAS
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:321 WASHINGTON ST
Mailing Address - Street 2:
Mailing Address - City:TAPPAN
Mailing Address - State:NY
Mailing Address - Zip Code:10983-2615
Mailing Address - Country:US
Mailing Address - Phone:845-398-0399
Mailing Address - Fax:
Practice Address - Street 1:450 W NYACK RD
Practice Address - Street 2:
Practice Address - City:WEST NYACK
Practice Address - State:NY
Practice Address - Zip Code:10994-1754
Practice Address - Country:US
Practice Address - Phone:845-354-2121
Practice Address - Fax:845-354-2928
Is Sole Proprietor?:Yes
Enumeration Date:2009-03-05
Last Update Date:2009-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY078214103TC1900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounseling