Provider Demographics
NPI:1174002513
Name:MILLS, ERIN M (LMSW, CADC-II)
Entity Type:Individual
Prefix:MRS
First Name:ERIN
Middle Name:M
Last Name:MILLS
Suffix:
Gender:F
Credentials:LMSW, CADC-II
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2020 PENDLETON PL
Mailing Address - Street 2:
Mailing Address - City:SUWANEE
Mailing Address - State:GA
Mailing Address - Zip Code:30024-2766
Mailing Address - Country:US
Mailing Address - Phone:404-281-7689
Mailing Address - Fax:
Practice Address - Street 1:1455 LINCOLN PKWY E STE 360
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30346-2288
Practice Address - Country:US
Practice Address - Phone:470-238-8187
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-08-07
Last Update Date:2018-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAMSW0068071041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical