Healthcare Provider Details

I. General information

NPI: 1801791892
Provider Name (Legal Business Name): MARIA MIMS LMFT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/10/2026
Last Update Date: 10/10/2026
Certification Date: 10/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

155 S MADISON ST STE 306
DENVER CO
80209-3014
US

IV. Provider business mailing address

155 S MADISON ST STE 306
DENVER CO
80209-3014
US

V. Phone/Fax

Practice location:
  • Phone: 866-285-2929
  • Fax: 208-567-5844
Mailing address:
  • Phone: 866-285-2929
  • Fax: 208-567-5844

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License NumberMFT.0003309
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: