Provider Demographics
NPI:1255640322
Name:GOWINS, WILMISE MIMISE (LCSW)
Entity type:Individual
Prefix:MRS
First Name:WILMISE
Middle Name:MIMISE
Last Name:GOWINS
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1115 ORANGE ARBOUR TRL APT 403
Mailing Address - Street 2:
Mailing Address - City:OCOEE
Mailing Address - State:FL
Mailing Address - Zip Code:34761-5315
Mailing Address - Country:US
Mailing Address - Phone:407-782-0439
Mailing Address - Fax:
Practice Address - Street 1:1115 ORANGE ARBOUR TRL APT 403
Practice Address - Street 2:
Practice Address - City:OCOEE
Practice Address - State:FL
Practice Address - Zip Code:34761-5315
Practice Address - Country:US
Practice Address - Phone:407-782-0439
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-10-06
Last Update Date:2019-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical