Provider Demographics
NPI:1851715270
Name:MILLING, JAIME
Entity Type:Individual
Prefix:
First Name:JAIME
Middle Name:
Last Name:MILLING
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 1:5741 CORNELISON RD
Mailing Address - Street 2:6400 BUILDING
Mailing Address - City:CHATTANOOGA
Mailing Address - State:TN
Mailing Address - Zip Code:37411-5661
Mailing Address - Country:US
Mailing Address - Phone:423-954-8857
Mailing Address - Fax:
Practice Address - Street 1:5741 CORNELISON RD
Practice Address - Street 2:6400 BUILDING
Practice Address - City:CHATTANOOGA
Practice Address - State:TN
Practice Address - Zip Code:37411-5661
Practice Address - Country:US
Practice Address - Phone:423-954-8857
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-02-05
Last Update Date:2014-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health