JULIE ANN MIMMS LGPC
NPI 1154154458
Counselor - Professional in Columbia, MD

Active since August 22, 2024
9891 BROKEN LAND PKWY STE 210, COLUMBIA, MD 21046(667) 668-2556 Get Directions Write a Review

NPPES record last updated: August 22, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Individual
  • Female
  • Counselor
  • Professional

About JULIE MIMMS

This page provides the complete NPI Profile along with additional information for Julie Mimms, a provider established in Columbia, Maryland with a medical specialization in Counselor, focusing in professional . The healthcare provider is registered in the NPI registry with number 1154154458 assigned on August 2024. The practitioner's primary taxonomy code is 101YP2500X with license number LGP15459 (MD). The provider is registered as an individual and her NPI record was last updated 2 years ago.

NPI
1154154458 Verify this NPI
Provider Name
JULIE ANN MIMMS LGPC
Gender
Female
Entity Type
Individual
Location Address
9891 BROKEN LAND PKWY STE 210 COLUMBIA, MD 21046
Location Phone
(667) 668-2556
Mailing Address
9891 BROKEN LAND PKWY STE 210 COLUMBIA, MD 21046
Is Sole Proprietor?
No
Enumeration Date
08-22-2024
Last Update Date
08-22-2024
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Counselor Professional

Taxonomy Code
101YP2500X
Type
Behavioral Health & Social Service Providers
License No.
LGP15459
License State
MD

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Other Providers at the Same Location


The following 3 providers are registered at the same or a nearby location.

Social Worker
9891 BROKEN LAND PKWY STE 210
COLUMBIA, MD 21046
Social Worker
9891 BROKEN LAND PKWY STE 210
COLUMBIA, MD 21046
Counselor (Mental Health)
9891 BROKEN LAND PKWY STE 210
COLUMBIA, MD 21046

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1154154458, enumerated as an "individual" on August 22, 2024.

The provider is located at 9891 BROKEN LAND PKWY STE 210 COLUMBIA, MD 21046 and the phone number is (667) 668-2556.

Counselor with taxonomy code 101YP2500X and a focus in Professional.