Provider Demographics
NPI:1770889859
Name:MILLING, SANDRA KAY (PHD, LP)
Entity type:Individual
Prefix:DR
First Name:SANDRA
Middle Name:KAY
Last Name:MILLING
Suffix:
Gender:F
Credentials:PHD, LP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:811 CENTRAL AVE STE 7
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28204-2015
Mailing Address - Country:US
Mailing Address - Phone:704-251-0756
Mailing Address - Fax:980-422-0251
Practice Address - Street 1:811 CENTRAL AVE STE 7
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28204-2015
Practice Address - Country:US
Practice Address - Phone:704-251-0756
Practice Address - Fax:980-422-0251
Is Sole Proprietor?:Yes
Enumeration Date:2011-02-07
Last Update Date:2025-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC5635103T00000X, 103T00000X
101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Single Specialty
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Single Specialty