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Contact Information

MAGAN D BAIZE MILLSAPS, LPCC, LCADC
1100 WALNUT ST
OWENSBORO, KY42301
 Phone: 270-689-6547
 Fax: 270-689-6689
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Professional

101YP2500X
 

Addiction (Substance Use Disorder)

101YA0400X
 

Counselor

101Y00000X
Indicates primary specialty

NPI Profile & details for MAGAN D BAIZE MILLSAPS · (Female)

NPI Number 1447617113
Status Active
Credentials LPCC, LCADC
Entity Individual
Enumeration date 01/26/2016
Last updated 08/15/2018 - About 8 years ago
Sole proprietor 1 No
Identifiers
  • KY License # 164978
  • KY License # 165042
  • KY License # 241828
  • KY Medicaid 7100412490
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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