Provider Demographics
NPI:1053053314
Name:MILLIEN, ALETHEIA DARCHA' BURRELL (MD)
Entity Type:Individual
Prefix:DR
First Name:ALETHEIA
Middle Name:DARCHA' BURRELL
Last Name:MILLIEN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:ALETHEIA
Other - Middle Name:DARCHA
Other - Last Name:BURRELL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:3218 EASTOVER RIDGE DR UNIT 434
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28211-1480
Mailing Address - Country:US
Mailing Address - Phone:214-597-3717
Mailing Address - Fax:
Practice Address - Street 1:330 BROOKLINE AVE FL SHAPIRO8
Practice Address - Street 2:
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02215-5491
Practice Address - Country:US
Practice Address - Phone:617-667-4600
Practice Address - Fax:617-667-7493
Is Sole Proprietor?:No
Enumeration Date:2022-04-08
Last Update Date:2022-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program