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NPI Code Detail

MEDICARE: MRS. BETH PROCTOR MILLS LCMHC, NCC, CRC

MEDICARE: MRS. BETH PROCTOR MILLS LCMHC, NCC, CRC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YP2500XProfessional Counselor4145NC
2101YM0800XMental Health Counselor4145NC

General Provider Information

NPI Number : 1245550763
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. BETH PROCTOR MILLS LCMHC, NCC, CRC
Provider Business Mailing Address
First Line : 2425 N CENTER ST # 107
Second Line :
City : HICKORY
State : NC
Zip : 28601-1320
Country : US
Telephone Number : 828-639-0558
Fax Number :
Provider Business Practice Location Address
First Line : 4030 WAKE FOREST RD STE 349
Second Line :
City : RALEIGH
State : NC
Zip : 27609-0010
Country : US
Telephone Number : 828-639-0558
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/07/2010
Last Update Date : 06/09/2024

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