Mills, Debra
Mills, Debra is an individual health care provider with primary practice located at 204 Lafayette St , Salem MA 01970-4721. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Mills, Debra can be contacted via phone (603) 531-3704.Contact Information
Primary practice address
204 Lafayette St
Salem MA 01970-4721
Phone: (603) 531-3704
Fax: (978) 564-7541
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 11340 | Massachusetts |
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | LADC: 649 | New Hampshire |
Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | LCMHC: 729 | New Hampshire |
Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | 8649 | Massachusetts |
Profile Details
NPI number | 1316108863 |
---|---|
LBN Legal business name | Mills, Debra |
Credentials | LMHC, LADC-I |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 18th, 2008 |
Last updated | Mar 27th, 2019 - about 5 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1316108863 | NPPES |
New Hampshire | MEDICAID | 99003227 | |
New Hampshire | Other | 7706655Y0NH01 | |
New Hampshire | Other | 7706655Y0NH01 |
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