Mims, Sandra

Mims, Sandra is an sole proprietor health care provider with primary practice located at 417 Racetrack Rd Nw , Fort Walton Beach FL 32547-4612. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Behavioral Analyst. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Mims, Sandra can be contacted via phone (850) 864-2273.

Contact Information

Primary practice address
417 Racetrack Rd Nw Fort Walton Beach FL 32547-4612
Phone: (850) 864-2273
Fax: (850) 862-6270
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X

Profile Details

NPI number 1962892604
LBN Legal business name Mims, Sandra
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 3rd, 2015
Last updated Feb 3rd, 2015 - about 9 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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