Individual
TYSHAYLA MIMBES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4211 HOSPITAL ST, PASCAGOULA, MS 39581-5320
(228) 283-4140
Mailing address
288 K TOWN RD, STATE LINE, MS 39362-8500
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
11/21/2025
Last updated
11/21/2025
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