MR. JOHN ROBERT MIMMS JR. MS, EDS - NPI 1952084527

Q: What is John Mimms's NPI number?

The NPI number for John Mimms is 1952084527. It was assigned to this individual provider in the NPPES registry on August 10, 2023.

Q: What is John Mimms's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

Q: When was this NPI record last updated?

The NPPES record for John Mimms was last updated on August 10, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Mr. John Robert Mimms Jr. Ms, Eds NPPES

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

MR. JOHN ROBERT MIMMS JR. MS, EDS (NPI 1952084527) is an individual counselor in Clarksville, Tennessee and active in the NPI registry since August 2023.

NPPES Registry Identity

NPI1952084527

Entity TypeIndividualMale

Primary Taxonomy101Y00000X

Provider Legal NameMR. JOHN ROBERT MIMMS JR.Credential: MS, EDS

Location Address25 JEFFERSON ST STE T1Clarksville, TN 37040-4901

Mailing Address4212 Mcgregor RdAdams, TN 37010-9141 · (931) 436-7119

Phone(931) 436-7119

Sole ProprietorNo

Enumeration DateAugust 10, 2023

NPPES CertifiedAugust 10, 2023

✔ NPI 1952084527 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers

Taxonomy Code101Y00000X

Definition

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

25 JEFFERSON ST STE T1, Clarksville, TN 37040

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