Healthcare Provider Details

I. General information

NPI: 1295397776
Provider Name (Legal Business Name): CAROLINE L MILLS LPCC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/03/2019
Last Update Date: 03/26/2026
Certification Date: 03/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

415 KNOLLCREST DR STE 101
REDDING CA
96002-0181
US

IV. Provider business mailing address

415 KNOLLCREST DR STE 101
REDDING CA
96002-0181
US

V. Phone/Fax

Practice location:
  • Phone: 530-392-4399
  • Fax: 530-903-4226
Mailing address:
  • Phone: 530-255-7505
  • Fax: 530-903-4226

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberLPCC18489
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code101Y00000X
TaxonomyCounselor
License NumberLPCC18489
License Number StateCA
# 3
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberLPCC18489
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: