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NPI Code Detail

MEDICARE: TYUANA CAROL SIMMONS LLPC

MEDICARE:   TYUANA CAROL SIMMONS  LLPC
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
1101YM0800XMental Health Counselor6401006887MI

General Provider Information

NPI Number : 1134272354
Entity Type Code : Individual
Provider Name (Legal Business Name) : TYUANA CAROL SIMMONS LLPC
Provider Business Mailing Address
First Line : 3500 FLUSHING ROAD
Second Line : SUITE 106
City : FLINT
State : MI
Zip : 48504
Country : US
Telephone Number : 810-241-8639
Fax Number :
Provider Business Practice Location Address
First Line : 3500 FLUSHING ROAD
Second Line : 106
City : FLINT
State : MI
Zip : 48504-0000
Country : US
Telephone Number : 810-241-8639
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/19/2007
Last Update Date : 04/29/2008

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Directions to “ TYUANA CAROL SIMMONS LLPC” Practice Location

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