TIANNA MARIE MIMS ASW
NPI 1942459656
Counselor - Mental Health in San Diego, CA
Active since September 17, 2008
About Tianna Marie Mims Asw NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
TIANNA MARIE MIMS ASW (NPI 1942459656) is an individual mental health provider in San Diego, California and active in the NPI registry since September 2008.
NPPES Registry Identity
NPI1942459656
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameTIANNA MARIE MIMSCredential: ASW
Location Address3132 JEFFERSON STSan Diego, CA 92110-4421
Mailing Address3132 Jefferson StSan Diego, CA 92110-4421 · (619) 276-1176
Phone(619) 276-1176
Sole ProprietorYes
Enumeration DateSeptember 17, 2008
Last NPPES UpdateSeptember 26, 20232 updates tracked since enumeration
NPPES CertifiedAugust 18, 2022
✔ NPI 1942459656 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses 3
★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
Also ListedSocial WorkerTaxonomy 104100000X
Also ListedCase Manager/Care CoordinatorTaxonomy 171M00000X
3132 JEFFERSON ST, San Diego, CA 92110
Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
Registered Nurse (Psychiatric/Mental Health, Adult)
3132 JEFFERSON ST
SAN DIEGO, CA 92110
SAN DIEGO, CA 92110
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1942459656, enumerated as an "individual" on September 17, 2008.
The provider is located at 3132 JEFFERSON ST SAN DIEGO, CA 92110 and the phone number is (619) 276-1176.
Counselor with taxonomy code 101YM0800X and a focus in Mental Health.
