Organization
SUSAN MILLHAM LICSW PLLC
Active
Parent organization
SUSAN MILLHAM LICSW PLLC
Other names
Millham Psychotherapy Group
Organization subpart
Yes
Provider details
NPI number
Legal business name
SUSAN MILLHAM LICSW PLLC
Authorized official
SUSAN MILLHAM MSW, LICSW (OWNER)
(304) 435-3494
Entity
Organization
Contact information
Practice address
7000 COOMBS FARM RD STE 202, MORGANTOWN, WV 26508-0803
(304) 435-3494
Mailing address
7000 COOMBS FARM RD STE 202, MORGANTOWN, WV 26508-0803
(304) 435-3494
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
DP00944194
WV
Other
Enumeration date
11/03/2015
Last updated
10/13/2022
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