Doctor Name: | MS. LOUISE MILLS-DUMONCEAUX |
NPI Number: | 1023116639 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LCSW |
License Number: | LCSW-11796 |
Business Practice Address: | 505 E Main St Clayton, NC - 275202621 |
Business Phone Number: | 9195854589 |
Business Fax Number: | 9195854589 |
Mailing Address: | 61 Shelton Ct, CLAYTON |
State: | NC |
Postal Code: | 275274233 |
Phone Number: | 9198305492 |
Fax Number: | 9195854589 |
NPI Enumeration Date: | 09/20/2006 |
NPI Last Update Date: | 07/09/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | LCSW-11796 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AZ |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |