LATRIZ MIMIKO NPI 1972475937

NPI Information

  • NPI: 1972475937
  • Provider Name: LATRIZ MIMIKO
  • Classification: Counselor - 101YM0800X
  • Specialization: Mental Health
  • Entity Type: Individual
  • Address: 13302 10TH ST
    BOWIE, MD
    ZIP 20715
  • Phone: (202) 378-0172

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NPI Details

Latriz Mimiko is a mental health counselor in Bowie, MD. Latriz Mimiko NPI is 1972475937. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

13302 10TH ST
BOWIE, MD
ZIP 20715-703
Phone: (202) 378-0172

The enumeration date for this NPI number is 9/19/2025 and was last updated on 10/24/2025.

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
1101YM0800XCounselorMental Health32840MARYLANDYes

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

NPI Synchronization or Removal

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