Provider Demographics
NPI:1629335500
Name:LOUIS- MILLS, PATRICIA (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:PATRICIA
Middle Name:
Last Name:LOUIS- MILLS
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:900 NE 195TH ST
Mailing Address - Street 2:SUITE 607
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33179-3438
Mailing Address - Country:US
Mailing Address - Phone:305-725-3908
Mailing Address - Fax:
Practice Address - Street 1:900 NE 195TH ST
Practice Address - Street 2:SUITE 607
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33179-3438
Practice Address - Country:US
Practice Address - Phone:305-725-3908
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-04-18
Last Update Date:2012-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSW 102141041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical