Provider Demographics
NPI:1699043109
Name:MILLS COMMUNITY SERVICES, LLC
Entity Type:Organization
Organization Name:MILLS COMMUNITY SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:GLEN
Authorized Official - Last Name:MILLS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:817-791-3576
Mailing Address - Street 1:7007 SNOWY OWL ST
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:TX
Mailing Address - Zip Code:76002-3379
Mailing Address - Country:US
Mailing Address - Phone:682-238-3326
Mailing Address - Fax:682-238-3340
Practice Address - Street 1:7007 SNOWY OWL ST
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:TX
Practice Address - Zip Code:76002-3379
Practice Address - Country:US
Practice Address - Phone:682-238-3326
Practice Address - Fax:682-238-3340
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-12-12
Last Update Date:2011-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management