Individual
LEA ANN MIMBS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LAPC
Contact information
Practice address
1460 MCLAIN RD NW, ACWORTH, GA 30101-4539
(912) 678-5501
Mailing address
1460 MCLAIN RD NW, ACWORTH, GA 30101-4539
(912) 678-5501
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
APC010900
GA
Other
Enumeration date
02/26/2026
Last updated
02/26/2026
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