Provider Demographics
NPI:1104702422
Name:WILLIAMS-MILLS, TYEISHA (LCSW)
Entity type:Individual
Prefix:
First Name:TYEISHA
Middle Name:
Last Name:WILLIAMS-MILLS
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:110 FRANKLIN RD
Mailing Address - Street 2:
Mailing Address - City:WOODSTOCK
Mailing Address - State:GA
Mailing Address - Zip Code:30188-5519
Mailing Address - Country:US
Mailing Address - Phone:678-438-7055
Mailing Address - Fax:
Practice Address - Street 1:110 FRANKLIN RD
Practice Address - Street 2:
Practice Address - City:WOODSTOCK
Practice Address - State:GA
Practice Address - Zip Code:30188-5519
Practice Address - Country:US
Practice Address - Phone:678-438-7055
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-08-12
Last Update Date:2025-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GACSW0097481041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical