| Shannon Mcmillan | |
|
105 Lyndon Ln Louisville KY 40222-5550 | |
| (502) 509-3178 | |
| (502) 509-0249 |
| Full Name | Shannon Mcmillan |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 105 Lyndon Ln, Louisville, Kentucky |
| Authorized Official Name and Position | Stephanie Gail Hall (MEDICAL BILLER AND CREDENTIALER) |
| Authorized Official Contact | 5029314065 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Shannon Mcmillan 105 Lyndon Ln Louisville KY 40222-5550 Ph: (502) 509-3178 | Shannon Mcmillan 105 Lyndon Ln Louisville KY 40222-5550 Ph: (502) 509-3178 |
| NPI Number | 1174260079 |
|---|---|
| Provider Enumeration Date | 05/12/2022 |
| Last Update Date | 06/09/2022 |
| Certification Date | 05/12/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174260079 | NPI | - | NPPES |
| 7100779020 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
Normal Life Family Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 9901 Linn Station Rd, Louisville, KY 40223 Phone: 800-866-0860 | |
The Home Of The Innocents Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1100 E Market St, Louisville, KY 40206 Phone: 502-596-1088 Fax: 502-596-1449 | |
Brite Pointe Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 324 Dale Rd, Louisville, KY 40229 Phone: 502-713-1041 Fax: 502-277-1528 | |
Meghana Suchak Phd, Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 4010 Dupont Cir Ste 574, Louisville, KY 40207 Phone: 502-912-1498 | |
Hmr Associates, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 159 Saint Matthews Ave, Ste. 9, Louisville, KY 40207 Phone: 502-899-3205 Fax: 502-899-1403 | |
Neuroscience Associates, Psc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3 Audubon Plaza Dr, Suite 110, Louisville, KY 40217 Phone: 502-634-3433 Fax: 502-634-3494 | |
Family Links Of Kentucky,psc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3715 Bardstown Rd, Suite 415, Louisville, KY 40218 Phone: 502-458-4530 Fax: 502-458-2070 |