Provider Demographics
NPI:1023766177
Name:MILLS, ANTHONY SINCLAIR (MHC-LP, CRC, CASAC)
Entity type:Individual
Prefix:MR
First Name:ANTHONY
Middle Name:SINCLAIR
Last Name:MILLS
Suffix:
Gender:M
Credentials:MHC-LP, CRC, CASAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:530 MANHATTAN AVE APT 31
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10027-5217
Mailing Address - Country:US
Mailing Address - Phone:917-856-6702
Mailing Address - Fax:
Practice Address - Street 1:530 MANHATTAN AVE APT 31
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10027-5217
Practice Address - Country:US
Practice Address - Phone:917-856-6702
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-03-16
Last Update Date:2022-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health