Provider Demographics
NPI:1124156823
Name:DARBY, MILLIE ADELAIDE (BCMT)
Entity type:Individual
Prefix:MRS
First Name:MILLIE
Middle Name:ADELAIDE
Last Name:DARBY
Suffix:
Gender:F
Credentials:BCMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:117 AMBER ST
Mailing Address - Street 2:
Mailing Address - City:LAFAYETTE
Mailing Address - State:LA
Mailing Address - Zip Code:70507-5627
Mailing Address - Country:US
Mailing Address - Phone:337-233-1529
Mailing Address - Fax:
Practice Address - Street 1:117 AMBER ST
Practice Address - Street 2:
Practice Address - City:LAFAYETTE
Practice Address - State:LA
Practice Address - Zip Code:70507-5627
Practice Address - Country:US
Practice Address - Phone:337-233-1529
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225A00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMusic Therapist