Healthcare Provider Details

I. General information

NPI: 1750614384
Provider Name (Legal Business Name): ERIN LEIGH MCMILLEN LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/15/2009
Last Update Date: 05/18/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

110 S ARCH ST
CONNELLSVILLE PA
15425-3515
US

IV. Provider business mailing address

101 N MAIN ST STE 201
GREENSBURG PA
15601-2407
US

V. Phone/Fax

Practice location:
  • Phone: 724-626-9941
  • Fax: 724-626-2785
Mailing address:
  • Phone: 724-217-6141
  • Fax: 878-295-8907

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberPC005983
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: