| Organization Name: | MCMILLIAN THERAPY SERVICES, INC |
| NPI Number: | 1568682219 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | SUZANNE VINES MCMILLIAN (CEO) |
| Mailing Address: | 1800 Buckner St Suite C-200 Shreveport |
| State: | LA US |
| Postal Code: | 711014440 |
| Phone Number: | 3182279002 |
| Fax Number: | 3182279025 |
| NPI Enumeration Date: | 04/26/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101Y00000X |
| License Number: | 1744 |
| Healthcare Provider Taxonomy: (Secondary) | X |
| State: | LA |
| 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 |