Individual provider · Type 1 NPI

Sandra Mims

Mental Health Counselor · Fort Walton Beach, FL

NPI number 1962892604 Active

Practice location

417 Racetrack Rd NW
Fort Walton Beach, FL 32547-4612

Call (850) 864-2273 Map

Fax (850) 862-6270

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed
Behavior Analyst 103K00000XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1962892604

Sandra Mims's National Provider Identifier is 1962892604, issued on Feb 3, 2015. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Fort Walton Beach, FL. The record was last updated on Feb 3, 2015.