Provider Demographics
NPI:1699313106
Name:MILLS, CIERA (MS, CCC-SLP)
Entity type:Individual
Prefix:
First Name:CIERA
Middle Name:
Last Name:MILLS
Suffix:
Gender:F
Credentials:MS, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2733 CANDYTUFT LANE
Mailing Address - Street 2:
Mailing Address - City:LEXINGTON
Mailing Address - State:KY
Mailing Address - Zip Code:40511
Mailing Address - Country:US
Mailing Address - Phone:606-625-7485
Mailing Address - Fax:
Practice Address - Street 1:993 MASON HEADLEY ROAD
Practice Address - Street 2:EASTERSEALS CARDINAL HILL
Practice Address - City:LEXINGTON
Practice Address - State:KY
Practice Address - Zip Code:40504-2246
Practice Address - Country:US
Practice Address - Phone:859-367-7217
Practice Address - Fax:859-367-7155
Is Sole Proprietor?:Yes
Enumeration Date:2019-12-16
Last Update Date:2019-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY173850235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist