Healthcare Provider Details

I. General information

NPI: 1346672409
Provider Name (Legal Business Name): HEATHER B MCMILLEN L.P.C.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/31/2013
Last Update Date: 05/01/2026
Certification Date: 05/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1595 SPRING HILL RD STE 520
VIENNA VA
22182-4101
US

IV. Provider business mailing address

3908 MAIDSTONE DR MT PLEASANT
MT PLEASANT SC
29466-7577
US

V. Phone/Fax

Practice location:
  • Phone: 703-687-6610
  • Fax: 571-282-3799
Mailing address:
  • Phone: 202-352-8950
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number0701005441
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: