Provider Demographics
NPI:1881488492
Name:MCMILLAN, LINDSEY NACOLE (CADC I)
Entity type:Individual
Prefix:MS
First Name:LINDSEY
Middle Name:NACOLE
Last Name:MCMILLAN
Suffix:
Gender:
Credentials:CADC I
Other - Prefix:MS
Other - First Name:LINDSEY
Other - Middle Name:NACOLE
Other - Last Name:MORALES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1895 E DIXON BLVD
Mailing Address - Street 2:
Mailing Address - City:SHELBY
Mailing Address - State:NC
Mailing Address - Zip Code:28152-6901
Mailing Address - Country:US
Mailing Address - Phone:980-306-4201
Mailing Address - Fax:704-445-7016
Practice Address - Street 1:1895 E DIXON BLVD
Practice Address - Street 2:
Practice Address - City:SHELBY
Practice Address - State:NC
Practice Address - Zip Code:28152-6901
Practice Address - Country:US
Practice Address - Phone:980-306-4201
Practice Address - Fax:704-445-7016
Is Sole Proprietor?:No
Enumeration Date:2025-04-08
Last Update Date:2025-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCCADC-31824101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)