LATRIZ MIMIKO
NPI 1972475937
Counselor - Mental Health in Bowie, MD

Active since September 19, 2025
13302 10TH ST, BOWIE, MD 20715(202) 378-0172 Get Directions Write a Review

NPPES record last updated: October 24, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Latriz Mimiko NPPES

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

LATRIZ MIMIKO (NPI 1972475937) is an individual mental health provider in Bowie, Maryland, licensed in Maryland (32840) and active in the NPI registry since September 2025.

NPPES Registry Identity

NPI1972475937
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameLATRIZ MIMIKO
Location Address13302 10TH STBowie, MD 20715-3703
Mailing Address13302 10th StBowie, MD 20715-3703
Sole ProprietorYes
Enumeration DateSeptember 19, 2025
Last NPPES UpdateOctober 24, 2025
NPPES CertifiedSeptember 19, 2025
NPI 1972475937 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License Licensed in MD · 32840
13302 10TH ST, Bowie, MD 20715

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 Latriz Mimiko's NPI number?

The NPI number for Latriz Mimiko is 1972475937. It was assigned to this individual provider in the NPPES registry on September 19, 2025.

Where is Latriz Mimiko located?

Latriz Mimiko practices at 13302 10th St, Bowie, MD 20715. The listed phone number is (202) 378-0172.

What is Latriz Mimiko'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 Latriz Mimiko was last updated on October 24, 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.