HOLLY MIMS LPC NPI 1700136702

NPI Information

  • NPI: 1700136702
  • Provider Name: HOLLY MIMS, LPC
  • Classification: Counselor - 101YM0800X
  • Specialization: Mental Health
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 131 N JUDD PKWY NE UNIT 82
    FUQUAY VARINA, NC
    ZIP 27526
  • Phone: (404) 824-7880

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NPI Details

Holly Mims, LPC is a mental health counselor in Fuquay Varina, NC with 22 years of experience. Holly Mims, LPC NPI is 1700136702. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

131 N JUDD PKWY NE UNIT 82
FUQUAY VARINA, NC
ZIP 27526-392
Phone: (404) 824-7880

The NPI 1700136702 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The enumeration date for this NPI number is 9/17/2012 and was last updated on 6/22/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YA0400XCounselorAddiction (Substance Use Disorder)No
2101YP2500XCounselorProfessionalLPC5821GEORGIANo
3101YM0800XCounselorMental HealthYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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