Provider Demographics
NPI:1043791460
Name:MILLINGTON, CAROLINE (LPCC, LPC, LMHC)
Entity type:Individual
Prefix:
First Name:CAROLINE
Middle Name:
Last Name:MILLINGTON
Suffix:
Gender:
Credentials:LPCC, LPC, LMHC
Other - Prefix:
Other - First Name:CALLIE
Other - Middle Name:
Other - Last Name:MILLINGTON
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LPCC, LPC, LMHC
Mailing Address - Street 1:1035 SAN PABLO AVE
Mailing Address - Street 2:SUITE 5 OFFICE 6
Mailing Address - City:ALBANY
Mailing Address - State:CA
Mailing Address - Zip Code:94706-2275
Mailing Address - Country:US
Mailing Address - Phone:413-345-5570
Mailing Address - Fax:
Practice Address - Street 1:1065 CRAGMONT AVE
Practice Address - Street 2:
Practice Address - City:BERKELEY
Practice Address - State:CA
Practice Address - Zip Code:94708-1445
Practice Address - Country:US
Practice Address - Phone:413-345-5570
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-08-23
Last Update Date:2025-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA12586101YM0800X
LA7550101YP2500X
CA14983101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health