Provider Demographics
NPI:1891575320
Name:MILLS-WRIGHT, TONIE ANNETTE (RBA)
Entity Type:Individual
Prefix:MRS
First Name:TONIE
Middle Name:ANNETTE
Last Name:MILLS-WRIGHT
Suffix:
Gender:F
Credentials:RBA
Other - Prefix:MRS
Other - First Name:TONIE
Other - Middle Name:ANNETTE
Other - Last Name:MILLS WRIGHT
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:367 HIGHVIEW RD
Mailing Address - Street 2:
Mailing Address - City:HARPERS FERRY
Mailing Address - State:WV
Mailing Address - Zip Code:25425-5030
Mailing Address - Country:US
Mailing Address - Phone:304-246-3921
Mailing Address - Fax:
Practice Address - Street 1:120 BELLVIEW AVE
Practice Address - Street 2:
Practice Address - City:WINCHESTER
Practice Address - State:VA
Practice Address - Zip Code:22601-3142
Practice Address - Country:US
Practice Address - Phone:540-542-0200
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-10-02
Last Update Date:2023-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA103K00000X
VA103K00000X103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Multi-Specialty