Individual provider · Type 1 NPI
Latriz Mimiko
Mental Health Counselor · Bowie, MD
NPI number
1972475937
Active
Practice location
13302 10th St
Bowie, MD 20715-3703
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | 32840 (MD) |
Mental Health Counselor: Definition to come...
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About NPI 1972475937
Latriz Mimiko's National Provider Identifier is 1972475937, issued on Sep 19, 2025. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Bowie, MD. The record was last updated on Oct 24, 2025.