| Patricia Johnson Mims, LMFT | |
|
7737 Pacific Ave, Lemon Grove, CA 91945-1740 | |
| (619) 438-0880 | |
| Not Available |
| Full Name | Patricia Johnson Mims |
|---|---|
| Gender | Female |
| Speciality | Marriage & Family Therapist |
| Location | 7737 Pacific Ave, Lemon Grove, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508418971 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | 114090 (California) | Primary |
| Entity Name | Soul Renewal Family Counseling Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1295387603 PECOS PAC ID: 6002252616 Enrollment ID: O20240306000197 |
| Mailing Address | Practice Location Address |
|---|---|
| Patricia Johnson Mims, LMFT 7737 Pacific Ave, Lemon Grove, CA 91945-1740 Ph: (619) 439-2499 | Patricia Johnson Mims, LMFT 7737 Pacific Ave, Lemon Grove, CA 91945-1740 Ph: (619) 438-0880 |
Ms. Gina Marie Janc, MA Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 3434 Grove St, Lemon Grove, CA 91945 Phone: 619-797-1090 | |
Jaye A C Weber, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 3434 Grove St, Lemon Grove, CA 91945 Phone: 619-889-6041 | |
Cassie Dove, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 2049 Skyline Dr, Lemon Grove, CA 91945 Phone: 619-465-7303 | |
Bradfield Calvin Sampica, M.S. MFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 3434 Grove St, Lemon Grove, CA 91945 Phone: 619-281-3706 | |
Mr. David Najera, MA Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 7737 Pacific Ave, Lemon Grove, CA 91945 Phone: 619-741-0624 | |
Dr. Jacey Saucedo Coy, PSYD, LMFT Couples Therapy Medicare: Medicare Enrolled Practice Location: 3434 Grove St, Lemon Grove, CA 91945 Phone: 619-281-3706 Fax: 619-281-3714 | |
Mia Najor, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 8337 Mount Vernon St, Lemon Grove, CA 91945 Phone: 619-261-8531 |