Provider Demographics
NPI:1437288644
Name:MILLSPAUGH, CARLA MORGAN
Entity Type:Individual
Prefix:
First Name:CARLA
Middle Name:MORGAN
Last Name:MILLSPAUGH
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 1:5054 PINEYWOODS RD
Mailing Address - Street 2:
Mailing Address - City:ADAMS
Mailing Address - State:TN
Mailing Address - Zip Code:37010-9040
Mailing Address - Country:US
Mailing Address - Phone:931-485-2039
Mailing Address - Fax:
Practice Address - Street 1:901 MARTIN ST
Practice Address - Street 2:
Practice Address - City:CLARKSVILLE
Practice Address - State:TN
Practice Address - Zip Code:37040-4090
Practice Address - Country:US
Practice Address - Phone:931-503-4600
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional