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

Shannon Davy Mimbs, MACMHC, MDIV

Individual provider Professional Counselor · NPI 1598338808

Shannon Davy Mimbs, MACMHC, MDIV is a Professional Counselor in Vidalia, Georgia. Practices as a sole proprietor. Licensed in Georgia.

Licensed in
GA
In the registry since
2021

Practice location Address checks out

304 Arlington Dr
Vidalia, GA 30474-8935
Phone: (912) 805-9255
Show map & directions

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

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X (GA)

Record details

NPI number1598338808
Entity typeIndividual (Type 1)
GenderMale
Credentials MACMHC , MDIV
Sole proprietorYes
NPI enumeratedJuly 23, 2021
Last updated in NPPESJanuary 24, 2022
Certification dateJanuary 24, 2022

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