Provider Demographics
NPI:1467093435
Name:MILLS, ERIC (MA, LMHCA, NCC)
Entity Type:Individual
Prefix:
First Name:ERIC
Middle Name:
Last Name:MILLS
Suffix:
Gender:M
Credentials:MA, LMHCA, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6100 SOUNDVIEW DR APT 15A
Mailing Address - Street 2:
Mailing Address - City:GIG HARBOR
Mailing Address - State:WA
Mailing Address - Zip Code:98335-2074
Mailing Address - Country:US
Mailing Address - Phone:480-216-5611
Mailing Address - Fax:
Practice Address - Street 1:402 S 333RD ST STE 121
Practice Address - Street 2:
Practice Address - City:FEDERAL WAY
Practice Address - State:WA
Practice Address - Zip Code:98003-7099
Practice Address - Country:US
Practice Address - Phone:253-929-1543
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-10-01
Last Update Date:2019-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMC60990782101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health