Provider Demographics
NPI:1225401425
Name:MILLAN, KATHRYN TAYLOR (LPC-MHSP)
Entity Type:Individual
Prefix:
First Name:KATHRYN
Middle Name:TAYLOR
Last Name:MILLAN
Suffix:
Gender:F
Credentials:LPC-MHSP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2920 DONNA HILL DR
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37214-1512
Mailing Address - Country:US
Mailing Address - Phone:615-838-2365
Mailing Address - Fax:
Practice Address - Street 1:805 BRADFORD AVE
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37204-2105
Practice Address - Country:US
Practice Address - Phone:615-853-9040
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-11-10
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN3334101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health