Doctor Name: | SHAWNTA MCMILLIAN |
NPI Number: | 1215277926 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LPC |
License Number: | 9814 |
Business Practice Address: | 3610 N Elm St Suite A Greensboro, NC - 274552599 |
Business Phone Number: | 3366749781 |
Business Fax Number: | |
Mailing Address: | 3227 Pleasant Garden Rd, 2c GREENSBORO |
State: | NC |
Postal Code: | 274064620 |
Phone Number: | 3305546735 |
Fax Number: | |
NPI Enumeration Date: | 02/18/2013 |
NPI Last Update Date: | 02/19/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | 9814 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | NC |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |