Basic Information
| Provider Information | |||||||||
| NPI: | 1184934820 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | MILLS | ||||||||
| FirstName: | HEYWARD | ||||||||
| MiddleName: | D | ||||||||
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| Mailing Information | |||||||||
| Address1: | 166 DOSTON STREET | ||||||||
| Address2: | |||||||||
| City: | ROCK HILL | ||||||||
| State: | SC | ||||||||
| PostalCode: | 29732 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8033289600 | ||||||||
| FaxNumber: | 8033287141 | ||||||||
| Practice Location | |||||||||
| Address1: | 223 EA MAIN STREET | ||||||||
| Address2: | SUITE 300 | ||||||||
| City: | ROCK HILL | ||||||||
| State: | SC | ||||||||
| PostalCode: | 29732 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8033289600 | ||||||||
| FaxNumber: | 8033287141 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 10/15/2010 | ||||||||
| LastUpdateDate: | 10/15/2010 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 101YM0800X | Y | Behavioral Health & Social Service Providers | Counselor | Mental Health |
No ID Information.