Provider Demographics
NPI:1891868725
Name:MILLS, GAIL A (LCSW)
Entity Type:Individual
Prefix:MS
First Name:GAIL
Middle Name:A
Last Name: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 1:3166 N VERMILION ST
Mailing Address - Street 2:HOPE COUNSELING INC.
Mailing Address - City:DANVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:61832-1166
Mailing Address - Country:US
Mailing Address - Phone:217-431-8825
Mailing Address - Fax:217-431-8827
Practice Address - Street 1:3166 N VERMILION ST
Practice Address - Street 2:HOPE COUNSELING, INC.
Practice Address - City:DANVILLE
Practice Address - State:IL
Practice Address - Zip Code:61832-1166
Practice Address - Country:US
Practice Address - Phone:217-431-8825
Practice Address - Fax:217-431-8827
Is Sole Proprietor?:No
Enumeration Date:2006-11-16
Last Update Date:2009-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL149.0069351041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL09232017OtherBLUE CROSS BLUE SHIELD
IN212796Medicare ID - Type UnspecifiedLCSW