Provider Demographics
NPI:1881762458
Name:MILLION, LINDA PENROD (DOCTOR OF MINISTRY L)
Entity type:Individual
Prefix:DR
First Name:LINDA
Middle Name:PENROD
Last Name:MILLION
Suffix:
Gender:F
Credentials:DOCTOR OF MINISTRY L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1205 APPLEGATE LANE
Mailing Address - Street 2:
Mailing Address - City:CLARKSVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:47129
Mailing Address - Country:US
Mailing Address - Phone:812-283-8383
Mailing Address - Fax:812-283-8429
Practice Address - Street 1:1205 APPLEGATE LANE
Practice Address - Street 2:
Practice Address - City:CLARKSVILLE
Practice Address - State:IN
Practice Address - Zip Code:47129
Practice Address - Country:US
Practice Address - Phone:812-283-8383
Practice Address - Fax:812-283-8429
Is Sole Proprietor?:No
Enumeration Date:2006-12-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101YP1600X
KY0462106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered101YP1600XBehavioral Health & Social Service ProvidersCounselorPastoral
Not Answered106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist