Healthcare Provider Details

I. General information

NPI: 1699043109
Provider Name (Legal Business Name): MILLS COMMUNITY SERVICES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/12/2011
Last Update Date: 12/12/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7007 SNOWY OWL ST
ARLINGTON TX
76002-3379
US

IV. Provider business mailing address

7007 SNOWY OWL ST
ARLINGTON TX
76002-3379
US

V. Phone/Fax

Practice location:
  • Phone: 682-238-3326
  • Fax: 682-238-3340
Mailing address:
  • Phone: 682-238-3326
  • Fax: 682-238-3340

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State

VIII. Authorized Official

Name: MR. RICHARD GLEN MILLS
Title or Position: CEO
Credential:
Phone: 817-791-3576