| Doctor Name: | BRIAN S MILLS |
| NPI Number: | 1003029588 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PH.D., LCPC |
| License Number: | LCPC 320 |
| Business Practice Address: | 2119 Bristol Ln Newton, KS - 671149034 |
| Business Phone Number: | 3162171892 |
| Business Fax Number: | |
| Mailing Address: | 2119 Bristol Ln, NEWTON |
| State: | KS |
| Postal Code: | 671149034 |
| Phone Number: | 3162171892 |
| Fax Number: | |
| NPI Enumeration Date: | 05/08/2007 |
| NPI Last Update Date: | 06/30/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | LCPC 320 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | KS |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |