Individual provider · Type 1 NPI
Mocha Marie Mims, LCMHC, PhD
Mental Health Counselor · Durham, NC
NPI number
1063625432
Active
Practice location
100 Village Circle Way Apt 513
Durham, NC 27713-6133
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor | 101YP2500X | 6401009343 (MI) |
| Psychologist | 103T00000X | None listed |
| Mental Health Counselor Primary | 101YM0800X | 12665 (NC) |
Mental Health Counselor: Definition to come...
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About NPI 1063625432
Mocha Marie Mims, LCMHC, PhD's National Provider Identifier is 1063625432, issued on May 8, 2007. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Durham, NC. The record was last updated on Jul 9, 2024.