Organization Active NPI

Desiree McMillan Professional Services, LLC

  • Adult Mental Health Clinic/Center
  • Pineville, NC
National Provider Identifier
1073308920
Registry record updated Apr 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
Legal business name
DESIREE MCMILLAN PROFESSIONAL SERVICES, LLC
Practice address
9835 Pineville Matthews Rd Ste 245
Pineville, NC 28134-7555
Phone
(337) 256-1206
NPI assigned
Apr 11, 2025
Last updated
Apr 11, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Desiree Mae McMillan, LCSWNPI 1205234036
Title
Psychotherapist
Phone
(337) 256-1206

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X Primary

Addresses

Primary practice location

9835 Pineville Matthews Rd Ste 245
Pineville, NC 28134-7555

Mailing address

1067 Albany Park Dr
Fort Mill, SC 29715-8805
Phone (337) 256-1206

National Provider Directory

National Provider Directory

Locations

9835 Pineville Matthews Rd
Ste 245
Pineville, NC 28134
Phone (337) 256-1206

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1744329600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1744329600000",
    "number": "1073308920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1067 ALBANY PARK DR",
            "city": "FORT MILL",
            "state": "SC",
            "postal_code": "297158805",
            "telephone_number": "337-256-1206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9835 PINEVILLE MATTHEWS RD STE 245",
            "city": "PINEVILLE",
            "state": "NC",
            "postal_code": "281347555",
            "telephone_number": "337-256-1206"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DESIREE MCMILLAN PROFESSIONAL SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-11",
        "last_updated": "2025-04-11",
        "certification_date": "2025-04-11",
        "status": "A",
        "authorized_official_last_name": "MCMILLAN",
        "authorized_official_first_name": "DESIREE",
        "authorized_official_middle_name": "MAE",
        "authorized_official_title_or_position": "PSYCHOTHERAPIST",
        "authorized_official_telephone_number": "337-256-1206",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pineville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.