Healthcare Provider Details

I. General information

NPI: 1295913788
Provider Name (Legal Business Name): ANDREW J MILLS LIMHP
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/06/2008
Last Update Date: 04/20/2026
Certification Date: 04/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11205 WRIGHT CIR STE 110
OMAHA NE
68144-4719
US

IV. Provider business mailing address

11205 WRIGHT CIR STE 110
OMAHA NE
68144-4719
US

V. Phone/Fax

Practice location:
  • Phone: 531-323-0133
  • Fax: 531-242-5860
Mailing address:
  • Phone: 531-323-0133
  • Fax: 531-242-5860

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number3137
License Number StateNE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: