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
Fax: (501) 982-5007
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1003239849 NPPES
Arkansas MEDICAID 200463795

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