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MYCHEAL L MIMES
NPI 1417485012
Case Manager/Care Coordinator in Shreveport, LA

Active since May 25, 2017
1500 N MARKET ST UNIT C, SHREVEPORT, LA 71107(318) 626-5597 Get Directions Write a Review

NPPES record last updated: May 23, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 23, 2018, May 25, 2017 (2 updates tracked since 2017).

About Mycheal L Mimes NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MYCHEAL L MIMES (NPI 1417485012) is an individual case manager/care coordinator provider in Shreveport, Louisiana and active in the NPI registry since May 2017.

NPPES Registry Identity

NPI1417485012
Entity TypeIndividualFemale
Primary Taxonomy171M00000X
Provider Legal NameMYCHEAL L MIMES
Location Address1500 N MARKET ST UNIT CShreveport, LA 71107
Mailing Address1500 N Market St Unit CShreveport, LA 71107-6537
Phone(318) 626-5597
Sole ProprietorNo
Enumeration DateMay 25, 2017
Last NPPES UpdateMay 23, 20182 updates tracked since enumeration
✔ NPI 1417485012 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCase Manager/Care CoordinatorOther Service Providers
Taxonomy Code171M00000X
Definition
A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.
Also ListedSocial WorkerTaxonomy 104100000X
1500 N MARKET ST UNIT C, Shreveport, LA 71107
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Other Identifiers 1

Medicaid1851741722LA

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LATONYA PHENIX
Case Manager/Care Coordinator
1500 N MARKET ST UNIT C
SHREVEPORT, LA 71107
Caddo Parish (318) 626-5597

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mycheal Mimes's NPI number?

The NPI number for Mycheal Mimes is 1417485012. It was assigned to this individual provider in the NPPES registry on May 25, 2017.

Where is Mycheal Mimes located?

Mycheal Mimes practices at 1500 N Market St Unit C, Shreveport, LA 71107. The listed phone number is (318) 626-5597.

What is Mycheal Mimes's specialty?

The primary specialty registered for this NPI is Case Manager/Care Coordinator with taxonomy code 171M00000X.

When was this NPI record last updated?

The NPPES record for Mycheal Mimes was last updated on May 23, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.