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MIMO BACKFIN BLUES
NPI 1437027315
Counselor - Mental Health in Edgewood, MD

Active since October 23, 2025
500 EDGEWOOD RD STE 202, EDGEWOOD, MD 21040(443) 967-4656(443) 449-7573 Get Directions Write a Review

NPPES record last updated: October 23, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mimo Backfin Blues NPPES

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

MIMO BACKFIN BLUES (NPI 1437027315), doing business as Resilience Academy, is a healthcare organization registered as a mental health in Edgewood, Maryland and active in the NPI registry since October 2025. The organization lists Lula Moultrie Heatley, Therapist, as its authorized official.

NPPES Registry Identity

NPI1437027315
Entity TypeOrganization
Primary Taxonomy101YM0800X
Legal Business NameMIMO BACKFIN BLUES
Location Address500 EDGEWOOD RD STE 202Edgewood, MD 21040-2734
Mailing Address500 Edgewood Rd Ste 202Edgewood, MD 21040-2734 · (443) 967-4656 · Fax (443) 449-7573
Phone(443) 967-4656
Fax(443) 449-7573
Organization SubpartYesParent: Resilience Academy
Authorized OfficialLula Moultrie HeatleyTherapist · (240) 273-8062
Enumeration DateOctober 23, 2025
NPPES CertifiedOctober 23, 2025
✔ NPI 1437027315 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
500 EDGEWOOD RD STE 202, Edgewood, MD 21040
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Other Names 1

Doing Business AsResilience Academy

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

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

MIMO BACKFIN BLUES
Social Worker (Clinical)
500 EDGEWOOD RD STE 202
EDGEWOOD, MD 21040
Harford County (443) 967-4656

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 Mimo Backfin Blues's NPI number?

The NPI number for Mimo Backfin Blues is 1437027315. It was assigned to this organization in the NPPES registry on October 23, 2025. The provider is doing business as Resilience Academy.

Where is Mimo Backfin Blues located?

Mimo Backfin Blues is located at 500 Edgewood Rd Ste 202, Edgewood, MD 21040. The listed phone number is (443) 967-4656.

What is Mimo Backfin Blues's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Mimo Backfin Blues was last updated on October 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months 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.