Provider Demographics
NPI:1528837960
Name:MILLS PRO COUNSELING LLC
Entity type:Organization
Organization Name:MILLS PRO COUNSELING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SOLE PRACTITIONER/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KELLY
Authorized Official - Middle Name:BETH
Authorized Official - Last Name:MILLS
Authorized Official - Suffix:
Authorized Official - Credentials:LPC, NCC, CCMHC
Authorized Official - Phone:580-373-2820
Mailing Address - Street 1:94210 HOLDENBURY DR UNIT B
Mailing Address - Street 2:
Mailing Address - City:FORT DRUM
Mailing Address - State:NY
Mailing Address - Zip Code:13603-3268
Mailing Address - Country:US
Mailing Address - Phone:580-373-2820
Mailing Address - Fax:580-547-5242
Practice Address - Street 1:94210 HOLDENBURY DR UNIT B
Practice Address - Street 2:
Practice Address - City:FORT DRUM
Practice Address - State:NY
Practice Address - Zip Code:13603-3268
Practice Address - Country:US
Practice Address - Phone:580-373-2820
Practice Address - Fax:580-547-5242
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-12-27
Last Update Date:2025-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)
No261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health