Provider Demographics
NPI:1558839126
Name:MILLS, APRIL DENISE (LMT)
Entity Type:Individual
Prefix:
First Name:APRIL
Middle Name:DENISE
Last Name:MILLS
Suffix:
Gender:F
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:840 FOREST PATH
Mailing Address - Street 2:
Mailing Address - City:STONE MOUNTAIN
Mailing Address - State:GA
Mailing Address - Zip Code:30088-2243
Mailing Address - Country:US
Mailing Address - Phone:770-309-7138
Mailing Address - Fax:
Practice Address - Street 1:4875 OLDE TOWNE PKWY STE 50
Practice Address - Street 2:
Practice Address - City:MARIETTA
Practice Address - State:GA
Practice Address - Zip Code:30068-5632
Practice Address - Country:US
Practice Address - Phone:770-309-7138
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-11-12
Last Update Date:2019-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAMT012071225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist