Healthcare Provider Details

I. General information

NPI: 1962322586
Provider Name (Legal Business Name): KATHRYN MILLS LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: KATHRYN PATZ

II. Dates (important events)

Enumeration Date: 07/16/2026
Last Update Date: 07/16/2026
Certification Date: 07/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2022 15TH AVE
COLUMBUS GA
31901-1699
US

IV. Provider business mailing address

2022 15TH AVE
COLUMBUS GA
31901-1699
US

V. Phone/Fax

Practice location:
  • Phone: 706-649-6500
  • Fax:
Mailing address:
  • Phone: 706-649-6500
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberLPC017065
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: