Individual provider · Type 1 NPI

Mimi Mize Rose

Marriage & Family Therapist · Midwest City, OK

NPI number 1629516349 Active

Practice location

1500 S Midwest Blvd, Suite 102
Midwest City, OK 73110-4946

Mailing address

8121 Eagle Cir
Oklahoma City, OK 73135-6077

Specialties and licenses

TaxonomyCodeLicense
Marriage & Family Therapist Primary 106H00000XNone listed

Marriage & Family Therapist: A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats ment…

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About NPI 1629516349

Mimi Mize Rose's National Provider Identifier is 1629516349, issued on Feb 1, 2017. The primary taxonomy on file is Marriage & Family Therapist (106H00000X), and the practice location is in Midwest City, OK. The record was last updated on Feb 1, 2017.