DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: DR. JACQUELINE MIMS LPC

MEDICARE: DR. JACQUELINE MIMS LPC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health Counselor3676LA

General Provider Information

NPI Number : 1639317878
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JACQUELINE MIMS LPC
Provider Business Mailing Address
First Line : 1733 WOODDALE BLVD
Second Line :
City : BATON ROUGE
State : LA
Zip : 70806-1508
Country : US
Telephone Number : 225-924-2800
Fax Number : 225-924-2800
Provider Business Practice Location Address
First Line : 1733 WOODDALE BLVD
Second Line :
City : BATON ROUGE
State : LA
Zip : 70806-1508
Country : US
Telephone Number : 225-924-2800
Fax Number : 225-924-2800
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/27/2009
Last Update Date : 08/08/2015

Similar Medicare Providers

1902925852 — VOLUNTEERS OF AMERICA
Practice Location Address:
1755 WOODDALE BLVD
BATON ROUGE, LA
70806-1508
Practice Phone: 225-922-3900
Practice Fax:
1063830727 — ECLECTIC COGNITIVE BEHAVIORAL CENTER, LLC
Practice Location Address:
1733 WOODDALE BLVD
BATON ROUGE, LA
70806-1508
Practice Phone: 225-924-2800
Practice Fax: 225-924-2800
1124420633 — VALARIE FAYE SELDERS
Practice Location Address:
1755 WOODDALE BLVD
BATON ROUGE, LA
70806-1508
Practice Phone: 225-778-7778
Practice Fax: 888-235-0788
1801267547 — NEW FAITH REHABILITATION
Practice Location Address:
1755 WOODDALE BLVD
BATON ROUGE, LA
70806-1508
Practice Phone: 225-439-1720
Practice Fax:
1780466581 — MEAGHAN GRUNWALD LMSW
Practice Location Address:
10755 CLETUS DR
BATON ROUGE, LA
70815-1508
Practice Phone: 225-272-2036
Practice Fax:
1528892981 — GERALD DEAN SCOTT
Practice Location Address:
5784 N AFTON PKWY
BATON ROUGE, LA
70806-1923
Practice Phone: 225-202-6992
Practice Fax:

Directions to “ DR. JACQUELINE MIMS LPC” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.