IndividualActive
Angel Mims
NPI 1073236121 · Clinical Child & Adolescent Psychologist · Ann Arbor, MI
Provider details
- NPI number
- 1073236121
- Entity type
- Individual
- Primary specialty
- Clinical Child & Adolescent PsychologistBehavioral Health & Social Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 6352000753 (MI)
Practice location
3005 Boardwalk St Ste 201
Ann Arbor, MI 48108-5218
Phone: (734) 222-9277
Mailing address
3005 Boardwalk St Ste 201
Ann Arbor, MI 48108-5218
Registry dates
- Enumerated
- 2022-09-23
- Last updated
- 2022-09-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.