MEDICARE: AMARI SIMONEAUX

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor	90632	TX

General Provider Information

NPI Number	:	1124982574
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AMARI SIMONEAUX

Provider Business Mailing Address
First Line	:	2760 SUMMERTREE DR
Second Line	:
City	:	CARROLLTON
State	:	TX
Zip	:	75006-2646
Country	:	US
Telephone Number	:	214-606-0936
Fax Number	:

Provider Business Practice Location Address
First Line	:	2760 SUMMERTREE DR
Second Line	:
City	:	CARROLLTON
State	:	TX
Zip	:	75006-2646
Country	:	US
Telephone Number	:	214-606-0936
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/10/2025
Last Update Date	:	12/10/2025

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Directions to “ AMARI SIMONEAUX ” Practice Location

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