Provider Demographics
NPI:1265723415
Name:MILLS-JOHNSON, DONNA JEANETTE (LCSW)
Entity type:Individual
Prefix:
First Name:DONNA
Middle Name:JEANETTE
Last Name:MILLS-JOHNSON
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:PO BOX 450964
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77245-0964
Mailing Address - Country:US
Mailing Address - Phone:281-236-1135
Mailing Address - Fax:
Practice Address - Street 1:1941 EAST ROAD
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77054
Practice Address - Country:US
Practice Address - Phone:713-486-2700
Practice Address - Fax:713-486-2721
Is Sole Proprietor?:Yes
Enumeration Date:2011-04-22
Last Update Date:2013-09-20
Deactivation Date:2011-12-12
Deactivation Code:
Reactivation Date:2013-09-20
Provider Licenses
StateLicense IDTaxonomies
TX10601101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health