Provider Demographics
NPI:1578031290
Name:MILLS, BARBARA (LMHC)
Entity Type:Individual
Prefix:
First Name:BARBARA
Middle Name:
Last Name:MILLS
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1700 W SMITH VALLEY RD STE B
Mailing Address - Street 2:
Mailing Address - City:GREENWOOD
Mailing Address - State:IN
Mailing Address - Zip Code:46142-1599
Mailing Address - Country:US
Mailing Address - Phone:317-886-1000
Mailing Address - Fax:317-886-1001
Practice Address - Street 1:8310 ALLISON POINTE BLVD STE 202
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46250-1998
Practice Address - Country:US
Practice Address - Phone:317-886-1000
Practice Address - Fax:317-886-1001
Is Sole Proprietor?:Yes
Enumeration Date:2018-11-12
Last Update Date:2018-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN39003345A101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty