Individual
SCOTT D. MIMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSW,CCS,LCAS,LCSW
Contact information
Practice address
2150 HIGHWAY #56 EAST, CREEDMOOR, NC 27522
(910) 257-5522
Mailing address
1233 MARBANK ST, WAKE FOREST, NC 27587-7924
(910) 257-5522
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
938
NC
1041C0700X
Clinical Social Worker
C001015
NC
Other
Enumeration date
02/28/2007
Last updated
09/11/2025
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