Edward Leigh McMillan IV, LCMHCA
Counselor, Mental Health in Brevard, NC. Individual provider (NPI-1).
NPI number1124804752
StatusActive
Last updated in NPPESJan 15, 2025
Details
- NPI
- 1124804752
- Entity type
- Individual (NPI-1)
- Name
- Edward Leigh McMillan IV
- Credential
- LCMHCA
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Sep 8, 2023
- Certification date
- Jan 15, 2025
- Last updated
- Jan 15, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | A18972 | NC | Yes |
Practice location
41 N Rice StBrevard, NC 28712-3431
Phone 251-363-3906
Mailing address
41 N Rice StBrevard, NC 28712-3431
Phone 251-363-3906
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