Individual
TIFFANY MILLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CT
Contact information
Practice address
6140 S BROADWAY, LORAIN, OH 44053-3821
(440) 233-7232
Mailing address
6140 S BROADWAY, LORAIN, OH 44053-3821
(440) 233-7232
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
C.1901611-TRNE
OH
101Y00000X
Counselor
Primary
C.2002419
OH
171M00000X
Case Manager/Care Coordinator
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
171M00000X
—
OH
Enumeration date
04/27/2018
Last updated
01/09/2020
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