Provider Demographics
NPI:1174412340
Name:TAGOE, MILLICENT SERWAH
Entity type:Individual
Prefix:
First Name:MILLICENT
Middle Name:SERWAH
Last Name:TAGOE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1013 CHAPEL STATION DR
Mailing Address - Street 2:
Mailing Address - City:LAWRENCEVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30045-7948
Mailing Address - Country:US
Mailing Address - Phone:470-393-5354
Mailing Address - Fax:
Practice Address - Street 1:VIEW POINT HEALTH CRISIS STABILIZATION UNIT
Practice Address - Street 2:175 GWINNETT DRIVE
Practice Address - City:LAWRENCEVILLE
Practice Address - State:GA
Practice Address - Zip Code:30046-8444
Practice Address - Country:US
Practice Address - Phone:678-209-2432
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-07-01
Last Update Date:2025-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN323175163WP0809X, 163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse
No163WP0809XNursing Service ProvidersRegistered NursePsychiatric/Mental Health, Adult