MRS. KERI JEAN MIMS (NPI# 1114422805) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114422805 |
| Entity Type | Individual |
| Full Name | MRS. KERI JEAN MIMS |
| Credential | MA |
| Practice Address |
650 Henderson Dr Ste 202 Cartersville GA 30120-3723 |
| Mailing Address |
1524 Davis Farm Dr Nw Kennesaw GA 30152-7844 |
| Practice Telephone | 7703342493 |
| Enumeration Date | 2018-03-26 |
| Last Update Date | 2018-03-26 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
Behavioral Health & Social Service Providers |
| Street Address |
650 HENDERSON DR STE 202 |
| City | CARTERSVILLE |
| State | GA |
| Zip Code | 30120-3723 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295357325 | Rhonda Ireland | Pharmacist | 125 Main Street Marketplace, Cartersville, GA 30120 | 2020-05-12 |
| 1538719273 | The Golden Ages Corporoation | Nursing Care | 41 Walden Crossing, Cartrsville, GA 30120 | 2019-09-15 |
| 1932752391 | Jennifer Elaine Mclaurin | Counselor | 911 N. Tennesse Street, Suite 107, Cartersville, GA 30120 | 2019-07-24 |
| 1164989497 | Kayla Elizabeth Hoskins | Occupational Therapist | 7 E Cherokee Ave, Cartersville, GA 30120 | 2019-02-22 |
| 1942785837 | Adriane L Alexander | Social Worker | 24 Meadowbridge Drive, Cartersville, GA 30120 | 2018-09-26 |
| 1306329362 | Ashley Elizabeth Deal | Nurse Practitioner | 958a Joe Frank Harris Parkway, Suite 101, Cartersville, GA 30120 | 2018-09-14 |
| 1376037606 | Samuel Gilreath Tumlin | Dentist | 701 N. Tennessee St., Cartersville, GA 30120 | 2018-06-20 |
| 1437669108 | Deborah Susan Luper | Counselor | 106 Forrest Avenue, A Healing Place, Cartersville, GA 30120 | 2017-10-06 |
| 1750810693 | Debbie Fearon | Registered Nurse | 523 Mountain Chase, Cartersville, GA 30120 | 2017-06-05 |
| 1023486388 | Amanda Stanley | Pharmacist | 1150 West Ave, Cartersville, GA 30120 | 2015-09-03 |
| Find all providers in zip 30120 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932752391 | Jennifer Elaine Mclaurin | Counselor | 911 N. Tennesse Street, Suite 107, Cartersville, GA 30120 | 2019-07-24 |
| 1952876583 | Kamaria Taylor-mccune | Counselor | 75 Point Place Dr, Cartersville, GA 30120-7927 | 2018-10-10 |
| 1073004032 | Rose Falcone Dowie | Counselor | 35 Mercer Ln, Cartersville, GA 30120-5886 | 2018-05-25 |
| 1376058404 | Patricia Jackson Whalen | Counselor | 650 Henderson Dr Ste 220, Cartersville, GA 30120-3744 | 2017-12-12 |
| 1679011761 | Lori Gaddis Johnson | Counselor | 12 Silversmith Trl Nw, Cartersville, GA 30120-7761 | 2017-02-08 |
| 1578927869 | Haley Jade Owens | Counselor | 314 Bishop Rd Nw, Cartersville, GA 30121-7361 | 2016-04-12 |
| 1386042547 | Christopher M Bruton | Counselor | 200 Leake St Ste 106, Cartersville, GA 30120-3562 | 2014-12-19 |
| 1508266529 | Angela James | Counselor | 17 Madison Ct Nw, Cartersville, GA 30120-7782 | 2014-08-27 |
| 1356765077 | Strategies for Life Counseling, Coaching and Consulting, LLC | Counselor | 24 Jeffery Ln Ne, Cartersville, GA 30121-5061 | 2014-02-17 |
| 1861765455 | Sherry Lanette Wise-mays | Counselor | 11 Ash Ct Ne, Cartersville, GA 30121-6027 | 2012-02-14 |
| Find all providers in CARTERSVILLE | ||||
| City | CARTERSVILLE |
| Zip Code | 30120 |
Please comment or provide details below to improve the information on MRS. KERI JEAN MIMS.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.