Provider Demographics
NPI:1326562364
Name:MCMILLIAN, ASHLEY GILLESPIE (LCSW)
Entity Type:Individual
Prefix:
First Name:ASHLEY
Middle Name:GILLESPIE
Last Name:MCMILLIAN
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1622 HAMILTON TER SE APT 1
Mailing Address - Street 2:
Mailing Address - City:ROANOKE
Mailing Address - State:VA
Mailing Address - Zip Code:24014-1812
Mailing Address - Country:US
Mailing Address - Phone:276-730-4932
Mailing Address - Fax:
Practice Address - Street 1:1622 HAMILTON TER SE APT 1
Practice Address - Street 2:
Practice Address - City:ROANOKE
Practice Address - State:VA
Practice Address - Zip Code:24014-1812
Practice Address - Country:US
Practice Address - Phone:276-730-4932
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-08-01
Last Update Date:2023-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA09040099891041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical