# MS. LORI L MIMICK

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1407097033
- **Gender:** F
- **Credential:** LIMHP, LPC, LADC

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | 891 | NE | — |
| 101YM0800X | Mental Health Counselor | 1369 | NE | — |
| 101YM0800X | Mental Health Counselor | 3849 | NE | — |
| 101YP2500X | Professional Counselor | 1909 | NE | Yes |

## Other

- **Enumeration date:** 03/11/2009
- **Last updated:** 07/02/2024