Provider Demographics
NPI:1669913935
Name:MILLION, MARISSA HAYLER
Entity type:Individual
Prefix:MRS
First Name:MARISSA
Middle Name:HAYLER
Last Name:MILLION
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 1:895 STATE FARM RD STE 506
Mailing Address - Street 2:
Mailing Address - City:BOONE
Mailing Address - State:NC
Mailing Address - Zip Code:28607-5392
Mailing Address - Country:US
Mailing Address - Phone:828-268-7200
Mailing Address - Fax:828-268-7201
Practice Address - Street 1:895 STATE FARM RD STE 506
Practice Address - Street 2:
Practice Address - City:BOONE
Practice Address - State:NC
Practice Address - Zip Code:28607-5392
Practice Address - Country:US
Practice Address - Phone:828-268-7200
Practice Address - Fax:828-268-7201
Is Sole Proprietor?:No
Enumeration Date:2017-03-20
Last Update Date:2017-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCP0112621041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical