Provider Demographics
NPI:1043904006
Name:A MILLS INC
Entity Type:Organization
Organization Name:A MILLS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ANGELA
Authorized Official - Middle Name:
Authorized Official - Last Name:MILLS-KOHLER
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:574-261-2416
Mailing Address - Street 1:557 HILDEBRAND ST
Mailing Address - Street 2:
Mailing Address - City:SOUTH BEND
Mailing Address - State:IN
Mailing Address - Zip Code:46614-5567
Mailing Address - Country:US
Mailing Address - Phone:574-261-2416
Mailing Address - Fax:574-807-9616
Practice Address - Street 1:557 HILDEBRAND ST
Practice Address - Street 2:
Practice Address - City:SOUTH BEND
Practice Address - State:IN
Practice Address - Zip Code:46614-5567
Practice Address - Country:US
Practice Address - Phone:574-261-2416
Practice Address - Fax:574-807-9616
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-06-05
Last Update Date:2023-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty