Mims, Angel

Mims, Angel is an individual health care provider with primary practice located at 3005 Boardwalk St Ste 201 , Ann Arbor MI 48108-5218. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical Child & Adolescent, which is considered as her primary health care specialty. Mims, Angel can be contacted via phone (734) 222-9277.

Contact Information

Primary practice address
3005 Boardwalk St Ste 201 Ann Arbor MI 48108-5218
Phone: (734) 222-9277
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical Child & Adolescent 103TC2200X 6352000753 Michigan

Profile Details

NPI number 1073236121
LBN Legal business name Mims, Angel
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 23rd, 2022
Last updated Sep 23rd, 2022 - about 3 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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Identifiers

StateTypeNumberIssuer
All States NPI 1073236121 NPPES
Michigan Other 6352000753 TLLP

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