Provider Demographics
NPI:1891268504
Name:MILLS, DEBORAH P (MS CADC II , ICADC)
Entity Type:Individual
Prefix:
First Name:DEBORAH
Middle Name:P
Last Name:MILLS
Suffix:
Gender:F
Credentials:MS CADC II , ICADC
Other - Prefix:MS
Other - First Name:DEBORAH
Other - Middle Name:P
Other - Last Name:MILLS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MS, CADC II, ICADC
Mailing Address - Street 1:483 E MAIN ST
Mailing Address - Street 2:
Mailing Address - City:CARTERSVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30121-3353
Mailing Address - Country:US
Mailing Address - Phone:470-529-5385
Mailing Address - Fax:
Practice Address - Street 1:483 E MAIN ST
Practice Address - Street 2:
Practice Address - City:CARTERSVILLE
Practice Address - State:GA
Practice Address - Zip Code:30121-3353
Practice Address - Country:US
Practice Address - Phone:470-529-5385
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-01-04
Last Update Date:2019-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA0600101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)