Provider Demographics
NPI:1104604891
Name:MILLING, TERRILYN (RN)
Entity type:Individual
Prefix:
First Name:TERRILYN
Middle Name:
Last Name:MILLING
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:44617 S AIRPORT RD STE C&D
Mailing Address - Street 2:
Mailing Address - City:HAMMOND
Mailing Address - State:LA
Mailing Address - Zip Code:70403-0311
Mailing Address - Country:US
Mailing Address - Phone:985-788-2356
Mailing Address - Fax:985-429-7616
Practice Address - Street 1:44617 S AIRPORT RD STE C&D
Practice Address - Street 2:
Practice Address - City:HAMMOND
Practice Address - State:LA
Practice Address - Zip Code:70403-0311
Practice Address - Country:US
Practice Address - Phone:985-788-2356
Practice Address - Fax:985-429-7616
Is Sole Proprietor?:No
Enumeration Date:2023-09-15
Last Update Date:2023-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA299264106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician