Provider Demographics
NPI:1619727864
Name:MILLARD COUNSELING LLC
Entity Type:Organization
Organization Name:MILLARD COUNSELING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ANNA BROOKE
Authorized Official - Middle Name:SPARKS
Authorized Official - Last Name:MILLARD
Authorized Official - Suffix:
Authorized Official - Credentials:ALC
Authorized Official - Phone:256-322-8632
Mailing Address - Street 1:16 TIFFANY LN
Mailing Address - Street 2:
Mailing Address - City:LINCOLN
Mailing Address - State:AL
Mailing Address - Zip Code:35096-1200
Mailing Address - Country:US
Mailing Address - Phone:205-810-5075
Mailing Address - Fax:
Practice Address - Street 1:3382 WOOLFOLK ROAD
Practice Address - Street 2:
Practice Address - City:MUNFORD
Practice Address - State:AL
Practice Address - Zip Code:35160
Practice Address - Country:US
Practice Address - Phone:256-322-8632
Practice Address - Fax:256-798-2959
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-03-22
Last Update Date:2024-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty