Provider Demographics
NPI:1285347666
Name:MACMILLAN, KATHRYN E (LMFT-A)
Entity type:Individual
Prefix:MRS
First Name:KATHRYN
Middle Name:E
Last Name:MACMILLAN
Suffix:
Gender:F
Credentials:LMFT-A
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 CHICK SPRINGS RD STE 103
Mailing Address - Street 2:
Mailing Address - City:GREENVILLE
Mailing Address - State:SC
Mailing Address - Zip Code:29609-4953
Mailing Address - Country:US
Mailing Address - Phone:864-918-2259
Mailing Address - Fax:
Practice Address - Street 1:1 CHICK SPRINGS RD STE 103
Practice Address - Street 2:
Practice Address - City:GREENVILLE
Practice Address - State:SC
Practice Address - Zip Code:29609-4953
Practice Address - Country:US
Practice Address - Phone:864-302-6788
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-01-02
Last Update Date:2023-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC8323106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist