Provider Demographics
NPI:1124376462
Name:MILLS, ERIKA MOTES (LMHC)
Entity Type:Individual
Prefix:
First Name:ERIKA
Middle Name:MOTES
Last Name:MILLS
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:ERIKA
Other - Middle Name:MOTES
Other - Last Name:ARNOLD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:721 A1A BEACH BLVD
Mailing Address - Street 2:STE. 7
Mailing Address - City:ST. AUGUSTINE
Mailing Address - State:FL
Mailing Address - Zip Code:32080
Mailing Address - Country:US
Mailing Address - Phone:904-806-1142
Mailing Address - Fax:
Practice Address - Street 1:721 A1A BEACH BLVD
Practice Address - Street 2:STE. 7
Practice Address - City:ST. AUGUSTINE
Practice Address - State:FL
Practice Address - Zip Code:32080
Practice Address - Country:US
Practice Address - Phone:904-806-1142
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-08-16
Last Update Date:2019-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101YM0800X
FLMH13250101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health