Healthcare Provider Details

I. General information

NPI: 1033064704
Provider Name (Legal Business Name): DAISY MILLS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/27/2026
Last Update Date: 02/27/2026
Certification Date: 02/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1055 HILDALE ST.
HILDALE UT
84784
US

IV. Provider business mailing address

PO BOX 35
COLORADO CITY AZ
86021-0035
US

V. Phone/Fax

Practice location:
  • Phone: 435-932-3672
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number StateUT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: