Provider Demographics
NPI:1265496459
Name:MILLS, KAREN D (MSW)
Entity Type:Individual
Prefix:
First Name:KAREN
Middle Name:D
Last Name:MILLS
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:KAREN
Other - Middle Name:
Other - Last Name:MILLS BEVERS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MSW
Mailing Address - Street 1:8915 W 7TH AVE
Mailing Address - Street 2:
Mailing Address - City:LAKEWOOD
Mailing Address - State:CO
Mailing Address - Zip Code:80215-5430
Mailing Address - Country:US
Mailing Address - Phone:303-274-2485
Mailing Address - Fax:
Practice Address - Street 1:777 S WADSWORTH BLVD STE 2-106
Practice Address - Street 2:
Practice Address - City:LAKEWOOD
Practice Address - State:CO
Practice Address - Zip Code:80226-4334
Practice Address - Country:US
Practice Address - Phone:303-274-2485
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-04-14
Last Update Date:2019-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO989647101YM0800X, 1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health