Individual
CANDICE MIMMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMHC
Contact information
Practice address
8180 CLEARVISTA PKWY, INDIANAPOLIS, IN 46256-1661
(317) 550-7842
Mailing address
8180 CLEARVISTA PKWY, INDIANAPOLIS, IN 46256-1661
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
39005078A
IN
Other
Enumeration date
03/11/2025
Last updated
03/11/2025
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