Amy Shantele Mills, LPC
Individual provider Active NPI Professional Counselor · Keene, TX
NPI 1164531331 · NPPES record last updated Mar 17, 2018
Key facts
- NPI
- 1164531331
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- 19670 (TX)
- Practice address
- 207 S Val Verde Cir
Keene, TX 76059-1933 - Phone
- (682) 615-2080
- NPI assigned
- Aug 30, 2006
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Generations Professional Counseling, PLLC | Professional | Past | Accepting new patients |
| Catholic Charities of Fort Worth, Inc | Professional | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 19670 | TX | Yes |
Addresses
Primary practice location
207 S Val Verde Cir
Keene, TX 76059-1933
Mailing address
207 S Val Verde Cir
Keene, TX 76059-1933
Phone (682) 615-2080
Other practice location 1
2701 Burchill Rd N
Fort Worth, TX 76105-3012
Phone (817) 534-0814 ext. 3918
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 10035168 | Other | TX | AMERIGROUP |
| 175434301 | Medicaid | TX |
Other names
- Miss Amy Shantele Beason
Other providers in Keene, TX
- Louis M Caldwell Jr
- Susanne Lynn Maynard
- Shelley McFadin
- Daniel Eric Mertz
- Debra Sue Messtorff
- Nanziwe Ndebele
- Novahealth Medical Services PLLC
- Ollie'S Non-Emergency Transport LLC.
- Quality Home Health
- Michael Gene Randall
All providers in Keene, TX · Professional Counselor in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 17, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.