Provider Demographics
NPI:1235811183
Name:MILLS, AMY E (LLPC)
Entity Type:Individual
Prefix:MRS
First Name:AMY
Middle Name:E
Last Name:MILLS
Suffix:
Gender:F
Credentials:LLPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:503 N WALNUT ST
Mailing Address - Street 2:
Mailing Address - City:LANSING
Mailing Address - State:MI
Mailing Address - Zip Code:48933-1126
Mailing Address - Country:US
Mailing Address - Phone:517-256-2435
Mailing Address - Fax:
Practice Address - Street 1:503 N WALNUT ST
Practice Address - Street 2:
Practice Address - City:LANSING
Practice Address - State:MI
Practice Address - Zip Code:48933-1126
Practice Address - Country:US
Practice Address - Phone:517-256-2435
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-08-01
Last Update Date:2023-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6451023147101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health