Individual
AMANDA MILLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPCC
Contact information
Practice address
4199 MILLPOND DR, HIGHLAND HILLS, OH 44122-5731
(216) 224-3904
Mailing address
497 EAGLE TRCE, MAYFIELD HEIGHTS, OH 44124-6113
(216) 224-3904
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
E.2202739
OH
171M00000X
Case Manager/Care Coordinator
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0287963
—
OH
Enumeration date
12/01/2017
Last updated
02/23/2022
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