Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dominique Antawn Mills, LPC-R

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1164163655

Dominique Antawn Mills, LPC-R is a Mental Health Counselor in Williamsburg, Virginia. Qualified in 2021, 5 years ago. Practices as a sole proprietor. Licensed in Virginia.

Years since qualifying
5
Licensed in
VA
In the registry since
2022
Specialties on file
2
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Practice location Address checks out

247 McLaws Cir
Williamsburg, VA 23185-5660
Phone: (757) 253-0111
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence 0704014275 (VA)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence 0709024174 (VA)

Record details

NPI number1164163655
Entity typeIndividual (Type 1)
GenderMale
Credentials LPC-R
Sole proprietorYes
NPI enumeratedApril 6, 2022
Last updated in NPPESApril 6, 2022
Certification dateApril 6, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Accepts Medicare assignment Not indicated

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