SearchCalifornia101YP2500X

Jasmine Mims

NPI 1205425782 · on the registry since 2021

Practice

Address
24904 Lear Ln
Moreno Valley, CA 92553
Phone
(661) 742-4026
Organisation at this address
New Legacy Behavioral Health Professional Clinical Counselor Inc
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy
101YP2500X
101YP2500X
Also registered as
101Y00000X
101YA0400X
104100000X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2026-05-01

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California