Provider Demographics
NPI:1003418070
Name:MILLARE, EMILY MELISSA (MS, CGC)
Entity Type:Individual
Prefix:
First Name:EMILY
Middle Name:MELISSA
Last Name:MILLARE
Suffix:
Gender:F
Credentials:MS, CGC
Other - Prefix:
Other - First Name:EMILY
Other - Middle Name:MELISSA
Other - Last Name:SOBY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:101 GREGOR MENDEL CIRCLE
Mailing Address - Street 2:
Mailing Address - City:GREENWOOD
Mailing Address - State:SC
Mailing Address - Zip Code:29646-2316
Mailing Address - Country:US
Mailing Address - Phone:864-388-1072
Mailing Address - Fax:864-388-1052
Practice Address - Street 1:14 EDGEWOOD DRIVE
Practice Address - Street 2:
Practice Address - City:GREENVILLE
Practice Address - State:SC
Practice Address - Zip Code:29605
Practice Address - Country:US
Practice Address - Phone:864-672-6893
Practice Address - Fax:864-250-9582
Is Sole Proprietor?:No
Enumeration Date:2020-11-13
Last Update Date:2023-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
19489170300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes170300000XOther Service ProvidersGenetic Counselor, MS