Doctor Name: | MARY SANDRA ALLEYNE-MCMILLAN |
NPI Number: | 1023148384 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MHS, LMSW |
License Number: | 006888 |
Business Practice Address: | 200 Claude Bundrick Rd Blythewood, SC - 290169420 |
Business Phone Number: | 8037545478 |
Business Fax Number: | |
Mailing Address: | 7 Gidding Ct, IRMO |
State: | SC |
Postal Code: | 290638363 |
Phone Number: | 8036491900 |
Fax Number: | 8036432926 |
NPI Enumeration Date: | 03/06/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | 006888 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | SC |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |