Basic Information
| Provider Information | |||||||||
| NPI: | 1487044103 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | MILLS-HOWELL | ||||||||
| FirstName: | TIFFANY | ||||||||
| MiddleName: | RENEE | ||||||||
| NamePrefix: | MRS. | ||||||||
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| Credential: | LPC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 2503 COPPERLEAF CT. | ||||||||
| Address2: | |||||||||
| City: | HIGH POINT | ||||||||
| State: | NC | ||||||||
| PostalCode: | 27265 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3369877586 | ||||||||
| FaxNumber: | |||||||||
| Practice Location | |||||||||
| Address1: | 229 TURNER DR | ||||||||
| Address2: | |||||||||
| City: | REIDSVILLE | ||||||||
| State: | NC | ||||||||
| PostalCode: | 273205736 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3363492233 | ||||||||
| FaxNumber: | |||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 02/02/2015 | ||||||||
| LastUpdateDate: | 03/17/2018 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 101YM0800X | 10766 | NC | Y | Behavioral Health & Social Service Providers | Counselor | Mental Health |
No ID Information.