Provider Demographics
NPI:1558675132
Name:MILLS, DARIUS ADRIAN (MA, LPC)
Entity Type:Individual
Prefix:MR
First Name:DARIUS
Middle Name:ADRIAN
Last Name:MILLS
Suffix:
Gender:M
Credentials:MA, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3212 CALYDON CT
Mailing Address - Street 2:
Mailing Address - City:FORT WASHINGTON
Mailing Address - State:MD
Mailing Address - Zip Code:20744-1437
Mailing Address - Country:US
Mailing Address - Phone:202-441-9653
Mailing Address - Fax:301-248-3669
Practice Address - Street 1:1629 K ST NW STE 300
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20006-1631
Practice Address - Country:US
Practice Address - Phone:202-441-9653
Practice Address - Fax:301-248-3669
Is Sole Proprietor?:Yes
Enumeration Date:2010-08-05
Last Update Date:2013-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DC173101YM0800X, 101YP2500X
DCLPC 173101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
Provider Identifiers
StateIdentifier IDID TypeIssuer
1558675132OtherCENTER FOR AFFORDABLE QUALITY HEALTHCARE -CAQH
DCLPC-173OtherDC-HPLA PROFESSIONAL COUNSELOR LICENSE