Provider Demographics
NPI:1235948704
Name:PROKOPENKO, MILANA (LMHCA)
Entity type:Individual
Prefix:
First Name:MILANA
Middle Name:
Last Name:PROKOPENKO
Suffix:
Gender:F
Credentials:LMHCA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14579 NE 35TH ST APT D312
Mailing Address - Street 2:
Mailing Address - City:BELLEVUE
Mailing Address - State:WA
Mailing Address - Zip Code:98007-8568
Mailing Address - Country:US
Mailing Address - Phone:425-273-6227
Mailing Address - Fax:
Practice Address - Street 1:14579 NE 35TH ST APT D312
Practice Address - Street 2:
Practice Address - City:BELLEVUE
Practice Address - State:WA
Practice Address - Zip Code:98007-8568
Practice Address - Country:US
Practice Address - Phone:425-273-6227
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-12-30
Last Update Date:2024-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health