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Organization
MIRRORS INC
Active
Organization
MIRRORS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DESHUN R MIMS ETC. (CEO)
(217) 801-8639
Entity
Organization
Contact information
Practice address
901 W JEFFERSON ST, SPRINGFIELD, IL 62702-4833
(217) 801-8639
Mailing address
901 W JEFFERSON ST # PO423, SPRINGFIELD, IL 62702-4833
(217) 801-8639
Taxonomy
Speciality
Code
Description
License number
State
101200000X
Drama Therapist
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
NULL
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
—
NULL
101YM0800X
Mental Health Counselor
Primary
—
—
251B00000X
Case Management Agency
—
NULL
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
07/29/2026
Last updated
09/16/2026
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