Provider Demographics
NPI:1699854646
Name:MILLS, SHARI LEIGH (MFT)
Entity Type:Individual
Prefix:
First Name:SHARI
Middle Name:LEIGH
Last Name:MILLS
Suffix:
Gender:F
Credentials:MFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1536 LAGUNA ST
Mailing Address - Street 2:
Mailing Address - City:SANTA BARBARA
Mailing Address - State:CA
Mailing Address - Zip Code:93101-1121
Mailing Address - Country:US
Mailing Address - Phone:805-568-0959
Mailing Address - Fax:
Practice Address - Street 1:5681 HOLLISTER AVE
Practice Address - Street 2:
Practice Address - City:GOLETA
Practice Address - State:CA
Practice Address - Zip Code:93117-3488
Practice Address - Country:US
Practice Address - Phone:805-964-2347
Practice Address - Fax:805-964-7079
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA33585106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist