Provider Demographics
NPI:1396030367
Name:MILLS, TORRI LYNN (LCSW-C)
Entity Type:Individual
Prefix:MS
First Name:TORRI
Middle Name:LYNN
Last Name:MILLS
Suffix:
Gender:F
Credentials:LCSW-C
Other - Prefix:MS
Other - First Name:TORRI
Other - Middle Name:LYNN
Other - Last Name:MILLS-RAIKES
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LCSW-C
Mailing Address - Street 1:1506 BURNWOOD RD
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21239-3538
Mailing Address - Country:US
Mailing Address - Phone:443-891-4509
Mailing Address - Fax:
Practice Address - Street 1:1506 BURNWOOD RD
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21239-3538
Practice Address - Country:US
Practice Address - Phone:443-891-4509
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-06-17
Last Update Date:2011-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD136081041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical