Healthcare Provider Details

I. General information

NPI: 1275281875
Provider Name (Legal Business Name): ERIN NICOLE MITCHELL MILLS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/13/2022
Last Update Date: 08/18/2025
Certification Date: 08/18/2025
Deactivation Date: 07/31/2025
Reactivation Date: 08/15/2025

III. Provider practice location address

2006 OLD GREENBRIER RD STE 1
CHESAPEAKE VA
23320-3408
US

IV. Provider business mailing address

1500 S DOUGLAS RD STE 230
CORAL GABLES FL
33134-4108
US

V. Phone/Fax

Practice location:
  • Phone: 757-413-5444
  • Fax:
Mailing address:
  • Phone: 844-244-1818
  • Fax: 888-512-0733

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number0704018341
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: