Organization
THE EMPRESS HAVEN, PLLC
Active
Organization
THE EMPRESS HAVEN, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MYISHANKA MCMILLIAN LCMHC (CEO/FOUNDER)
(919) 724-9733
Entity
Organization
Contact information
Practice address
2919 FAYETTEVILLE ST, DURHAM, NC 27707-4175
(919) 724-9733
Mailing address
3 OLIVENE DR, DURHAM, NC 27703-6755
(919) 724-9733
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
252Y00000X
Early Intervention Provider Agency
—
—
261Q00000X
Clinic/Center
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
320800000X
Mental Illness Community Based Residential Treatment Facility
—
—
405300000X
Prevention Professional
—
—
Other
Enumeration date
05/26/2022
Last updated
05/26/2022
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