Provider Demographics
NPI:1700588860
Name:MILLS PERINATAL WELLNESS GROUP PC
Entity Type:Organization
Organization Name:MILLS PERINATAL WELLNESS GROUP PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:AARON
Authorized Official - Middle Name:
Authorized Official - Last Name:MILLS
Authorized Official - Suffix:
Authorized Official - Credentials:MFT
Authorized Official - Phone:334-714-0295
Mailing Address - Street 1:705 COBB ST
Mailing Address - Street 2:
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35209-6514
Mailing Address - Country:US
Mailing Address - Phone:334-714-0295
Mailing Address - Fax:
Practice Address - Street 1:705 COBB ST
Practice Address - Street 2:
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35209-6514
Practice Address - Country:US
Practice Address - Phone:334-714-0295
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-03-21
Last Update Date:2023-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)