Organization
MCMILLIAN THERAPY SERVICES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SUZANNE VINES MCMILLIAN LOTR (CEO)
(318) 227-9002
Entity
Organization
Contact information
Practice address
1800 BUCKNER ST, SUITE C-200, SHREVEPORT, LA 71101-4440
(318) 227-9002
(318) 227-9025
Mailing address
1800 BUCKNER ST, SUITE C-200, SHREVEPORT, LA 71101-4440
(318) 227-9002
(318) 227-9025
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
1744
LA
101YM0800X
Mental Health Counselor
1744
LA
106H00000X
Marriage & Family Therapist
3919
TX
106H00000X
Marriage & Family Therapist
534
LA
225XP0200X
Pediatric Occupational Therapist
Z10975
LA
Other
Enumeration date
04/26/2007
Last updated
09/11/2025
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