Healthcare Provider Details

I. General information

NPI: 1699604934
Provider Name (Legal Business Name): MONICA KAY MILLS MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/14/2026
Last Update Date: 05/14/2026
Certification Date: 05/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1425 UNIVERSITY BLVD E STE 265
HYATTSVILLE MD
20783-4619
US

IV. Provider business mailing address

1425 UNIVERSITY BLVD E STE 265
HYATTSVILLE MD
20783-4619
US

V. Phone/Fax

Practice location:
  • Phone: 240-752-2767
  • Fax: 240-623-9522
Mailing address:
  • Phone: 240-752-2767
  • Fax: 240-623-9522

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number30410
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: