Individual provider · Type 1 NPI

Angela Myrise Mims

Addiction (Substance Use Disorder) Counselor · Detroit, MI

NPI number 1134829500 Active

Practice location

13929 Harper Ave
Detroit, MI 48213-3672

Call (313) 371-0055 Map

Fax (313) 371-1409

Mailing address

14801 Stansbury St
Detroit, MI 48227-3249

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1134829500

Angela Myrise Mims's National Provider Identifier is 1134829500, issued on Mar 6, 2023. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Detroit, MI. The record was last updated on Mar 6, 2023.