Mills, Amanda Patrice
Mills, Amanda Patrice is an individual health care provider with primary practice located at 2126 N 1St St Suite F, Jacksonville AR 72076-2868. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Mills, Amanda Patrice can be contacted via phone (501) 982-5000.Contact Information
Primary practice address
2126 N 1St St Suite F
Jacksonville AR 72076-2868
Phone: (501) 982-5000
Fax: (501) 982-5007
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | P2311025 | Arkansas |
Profile Details
| NPI number | 1003239849 |
|---|---|
| LBN Legal business name | Mills, Amanda Patrice |
| Credentials | Licensed Professional Counselor (LPC) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 30th, 2014 |
| Last updated | Dec 11th, 2023 - about 3 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 | 1003239849 | NPPES |
| Arkansas | MEDICAID | 200463795 |
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