| Doctor Name: | VALERIE MILLENBACH |
| NPI Number: | 1265417026 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MSW, LCSW |
| License Number: | LSW0000003965 |
| Business Practice Address: | 600 Cedar Ave Erwin, TN - 376501410 |
| Business Phone Number: | 4232200160 |
| Business Fax Number: | |
| Mailing Address: | 600 Cedar Ave, ERWIN |
| State: | TN |
| Postal Code: | 376501410 |
| Phone Number: | 4239480131 |
| Fax Number: | 4237438890 |
| NPI Enumeration Date: | 12/14/2005 |
| NPI Last Update Date: | 10/29/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | LSW0000003965 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TN |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |