Provider Demographics
NPI:1285325068
Name:MILFORD, KAREN L (LAC)
Entity type:Individual
Prefix:MS
First Name:KAREN
Middle Name:L
Last Name:MILFORD
Suffix:
Gender:F
Credentials:LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1513 NORTH LOUISIANA WHOLE HEALTH TREATMENT CENTER
Mailing Address - Street 2:SUITE 111
Mailing Address - City:SHREVEPORT
Mailing Address - State:LA
Mailing Address - Zip Code:71101
Mailing Address - Country:US
Mailing Address - Phone:318-408-9929
Mailing Address - Fax:318-408-9937
Practice Address - Street 1:1513 NORTH LOUISIANA WHOLE HEALTH TREATMENT CENTER
Practice Address - Street 2:
Practice Address - City:SHREVEPORT
Practice Address - State:LA
Practice Address - Zip Code:71101
Practice Address - Country:US
Practice Address - Phone:319-408-9929
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-05-15
Last Update Date:2023-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA963101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)