Mimm, Gregory Stewart

Mimm, Gregory Stewart is an individual health care provider with primary practice located at 1151 Dove #285, Newport Beach CA 92660-2843. He recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as his primary health care specialty. Mimm, Gregory Stewart can be contacted via phone (949) 261-5765.

Contact Information

Primary practice address
1151 Dove #285 Newport Beach CA 92660-2843
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X MFT25700 California

Profile Details

NPI number 1518928324
LBN Legal business name Mimm, Gregory Stewart
Credentials MFT 25700 CALIFORNIA
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 31st, 2006
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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