Provider Demographics
NPI:1851467856
Name:PLAYER, MIMIE MCCARLEY (LPC)
Entity Type:Individual
Prefix:MS
First Name:MIMIE
Middle Name:MCCARLEY
Last Name:PLAYER
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:MS
Other - First Name:MIMIE
Other - Middle Name:MCCARLEY
Other - Last Name:DAVIS
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:3 OFFICE PARK CIRCLE
Mailing Address - Street 2:SUITE 102
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35223
Mailing Address - Country:US
Mailing Address - Phone:205-915-2522
Mailing Address - Fax:205-930-0790
Practice Address - Street 1:3 OFFICE PARK CIRCLE
Practice Address - Street 2:SUITE 102
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35223
Practice Address - Country:US
Practice Address - Phone:205-915-2522
Practice Address - Fax:205-930-0790
Is Sole Proprietor?:No
Enumeration Date:2006-11-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1975101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health