person
Angela Myrise Mims
Addiction (Substance Use Disorder) Counselor in Detroit, Michigan
NPI 1134829500

Angela Myrise Mims is an Addiction (Substance Use Disorder) Counselor based in Detroit, MI and is specialized in Addiction (Substance Use Disorder). Angela Myrise Mims practices in Detroit, MI. The NPI Number for Angela Myrise Mims is 1134829500 and holds a License No. (Michigan).

The current practice location address for Angela Myrise Mims is 13929 Harper Ave, Detroit, MI and can be reached out via phone at 313-371-0055 and via fax at 313-371-1409.

Location: 13929 Harper Ave, Detroit, MI, 48227-3249
person
Provider Profile Details
NPI Number
1134829500
Provider Name
Angela Myrise Mims
Credential
Provider Entity Type
Individual
Gender
Female
Address
13929 Harper Ave, Detroit, MI, 48227-3249
Phone Number
313-371-0055
Fax Number
313-371-1409
Provider Enumeration Date
03/06/2023
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
520067619065 01 MI DRIVER LICENSE
institution
Provider Business Practice Location Address Details
Address
13929 Harper Ave
City
State
Zip
48213-3672
Phone Number
313-371-0055
Fax Number
313-371-1409
person
Provider Business Mailing Address Details
Address
13929 Harper Ave
City
State
Zip
48213-3672
Phone Number
313-371-0055
Fax Number
313-371-1409
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
()
Definition
Definition to come...
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