Healthcare Provider Details

I. General information

NPI: 1700535770
Provider Name (Legal Business Name): RACHAEL MILLS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/18/2022
Last Update Date: 03/18/2022
Certification Date: 03/18/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2999 PHILADELPHIA PIKE
CLAYMONT DE
19703-2507
US

IV. Provider business mailing address

2520 REYNOLDS AVE
CLAYMONT DE
19703-1026
US

V. Phone/Fax

Practice location:
  • Phone: 302-792-0700
  • Fax: 302-792-0800
Mailing address:
  • Phone: 302-545-2380
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: