Healthcare Provider Details

I. General information

NPI: 1124376462
Provider Name (Legal Business Name): ERIKA MOTES MILLS LMHC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ERIKA MOTES ARNOLD

II. Dates (important events)

Enumeration Date: 08/16/2012
Last Update Date: 01/14/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

721 A1A BEACH BLVD STE. 7
ST. AUGUSTINE FL
32080
US

IV. Provider business mailing address

721 A1A BEACH BLVD STE. 7
ST. AUGUSTINE FL
32080
US

V. Phone/Fax

Practice location:
  • Phone: 904-806-1142
  • Fax:
Mailing address:
  • Phone: 904-806-1142
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberMH13250
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: