Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mims Manor LLC

Organization Emotionally Disturbed Childrens' Residential Treatment Facility · NPI 1801950191

Mims Manor LLC is an Emotionally Disturbed Childrens' Residential Treatment Facility in Wilmington, North Carolina. Licensed in North Carolina. Registered with an NPI since 2006.

Licensed in
NC
In the registry since
2006
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

621 Plymouth Dr
Wilmington, NC 28405-2544
Phone: (910) 796-9040
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emotionally Disturbed Childrens' Residential Treatment Facility (primary) Taxonomy 322D00000X · Licence MHL065170 (NC)

Record details

NPI number1801950191
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Terry Mims — Owner · (910) 273-5838
NPI enumeratedDecember 20, 2006
Last updated in NPPESJuly 10, 2007
Mailing address3020 Brookcrossing Dr, Village At Lakewood, Fayetteville, NC 28306-9790

Other providers in Wilmington