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NPI Code Detail

MEDICARE: SHARALYNN SIMMONS MS, LPC

MEDICARE: SHARALYNN SIMMONS MS, LPC
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
1101YP2500XProfessional Counselor

General Provider Information

NPI Number : 1134501372
Entity Type Code : Individual
Provider Name (Legal Business Name) : SHARALYNN SIMMONS MS, LPC
Provider Business Mailing Address
First Line : PO BOX 1719
Second Line :
City : PINE LAKE
State : GA
Zip : 30072-1719
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 270 CARPENTER DR STE 400
Second Line :
City : SANDY SPRINGS
State : GA
Zip : 30328-4933
Country : US
Telephone Number : 678-460-0345
Fax Number : 678-460-0350
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/24/2015
Last Update Date : 12/07/2023

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