Provider Demographics
NPI:1841319480
Name:MILLS, ANGELA S (MA, LPC)
Entity type:Individual
Prefix:MRS
First Name:ANGELA
Middle Name:S
Last Name:MILLS
Suffix:
Gender:F
Credentials:MA, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1808 PONY RUN RD
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27615-7413
Mailing Address - Country:US
Mailing Address - Phone:919-612-3784
Mailing Address - Fax:
Practice Address - Street 1:809 SPRING FOREST RD STE 1000
Practice Address - Street 2:
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27609-9147
Practice Address - Country:US
Practice Address - Phone:919-612-3784
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-28
Last Update Date:2013-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC5517101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health