National Provider Identifier

Shanese Mills

Shanese Mills is listed in the NPPES registry with a primary specialty of Mental Health Counselor in Williamsville, NY and a listed phone number of (716) 626-7265.

NPI 1417468562Williamsville, NYMental Health Counselor

Profile Overview

NPI
1417468562
Provider Type
Individual
Primary Specialty
Mental Health Counselor
Enumeration Date
October 17, 2017
Last Updated
February 09, 2023

Practice Location

  • 5959 Main Street
  • Guidance Suite 105
  • Williamsville, NY 14221-5718

Phone: (716) 626-7265

Mailing Address

  • 227 Thorn Ave
  • Orchard Park, NY 14127-2600

Specialties

  • Mental Health Counselor (101YM0800X)
  • Counselor (101Y00000X)
Full Record
NPI
1417468562
Entity Type
Individual
Last Name
Mills
First Name
Shanese
Mailing Street Address
227 Thorn Ave
Mailing City
Orchard Park
Mailing State
NY
Mailing ZIP Code
14127-2600
Mailing Country
US
Mailing Phone
(716) 662-2040
Mailing Fax
(716) 662-0019
Practice Street Address
5959 Main Street
Practice Address Line 2
Guidance Suite 105
Practice City
Williamsville
Practice State
NY
Practice ZIP Code
14221-5718
Practice Country
US
Practice Phone
(716) 626-7265
Practice Fax
(716) 823-0751
Enumeration Date
October 17, 2017
Last Updated
February 09, 2023
Sex
Female
Sole Proprietor
No
Certification Date
February 02, 2023
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Mental Health Counselor (101YM0800X), Counselor (101Y00000X)