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SHANNON DAVY MIMBS MACMHC, MDIV
NPI 1598338808
Counselor - Professional in Vidalia, GA

Active since July 23, 2021
304 ARLINGTON DR, VIDALIA, GA 30474(912) 805-9255 Get Directions Write a Review

NPPES record last updated: January 24, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 24, 2022, Jul 23, 2021 (2 updates tracked since 2021).

About Shannon Davy Mimbs Macmhc, Mdiv NPPES

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

SHANNON DAVY MIMBS MACMHC, MDIV (NPI 1598338808) is an individual professional provider in Vidalia, Georgia and active in the NPI registry since July 2021.

NPPES Registry Identity

NPI1598338808
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameSHANNON DAVY MIMBSCredential: MACMHC, MDIV
Location Address304 ARLINGTON DRVidalia, GA 30474-8935
Mailing Address304 Arlington DrVidalia, GA 30474-8935 · (912) 231-5900
Phone(912) 805-9255
Sole ProprietorYes
Enumeration DateJuly 23, 2021
Last NPPES UpdateJanuary 24, 20222 updates tracked since enumeration
NPPES CertifiedJanuary 24, 2022
✔ NPI 1598338808 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
304 ARLINGTON DR, Vidalia, GA 30474
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 4

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

TAYLOR THOMPSON
Counselor (Professional)
304 ARLINGTON DR
VIDALIA, GA 30474
Toombs County (912) 537-1414
MS. SHELLEY TASHINA SMITH LPC
Counselor (Mental Health)
304 ARLINGTON DR
VIDALIA, GA 30474
Toombs County (912) 850-6526
PATSY G IVEY
Counselor (Mental Health)
304 ARLINGTON DR
VIDALIA, GA 30474
Toombs County (912) 537-1414
LEISA DUKES
Counselor (Mental Health)
304 ARLINGTON DR
VIDALIA, GA 30474
Toombs County (912) 537-1414

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 Shannon Mimbs's NPI number?

The NPI number for Shannon Mimbs is 1598338808. It was assigned to this individual provider in the NPPES registry on July 23, 2021.

Where is Shannon Mimbs located?

Shannon Mimbs practices at 304 Arlington Dr, Vidalia, GA 30474. The listed phone number is (912) 805-9255.

What is Shannon Mimbs's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

When was this NPI record last updated?

The NPPES record for Shannon Mimbs was last updated on January 24, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.