Organization
MIMIR CONSULTING, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES P POLK PSYD LCP (PRESIDENT)
(833) 223-1991
Entity
Organization
Contact information
Practice address
1100 N GLEBE RD STE 1010, ARLINGTON, VA 22201-5786
(202) 257-9333
(757) 321-6269
Mailing address
PO BOX 65053, VIRGINIA BEACH, VA 23467-5053
(757) 714-1838
(757) 321-6269
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
—
Other
Enumeration date
12/02/2008
Last updated
08/21/2023
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