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General NPI Number Information
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NPI Number | 1417754961
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Entity Type | Organization
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Legal Business Name | SAMANTHA MILLS, LCSW, LLC
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Dates
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Enumeration Date | 03/03/2025
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Last Update Date | 04/04/2025
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Provider Practice Location Address
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Address Line | 150 WESTSIDE DR
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City | WINCHESTER
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State | KY
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Zip | 40391-1196
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Country | US
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Telephone | 859-320-7973
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Fax |
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Provider Business Mailing Address
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Address Line | 2321 SIR BARTON WAY STE 140
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City | LEXINGTON
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State | KY
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Zip | 40509-2437
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Country | US
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Telephone | 859-320-7973
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Fax |
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Authorized Official
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Title or Position | PSYCHOTHERAPIST
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Name | SAMANTHA MILLS
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Credential | LCSW
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Telephone | 859-320-7973
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number |
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License Number State |
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