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NPI Code Detail

MEDICARE: ZILLA SIMPSON LMHC

MEDICARE: ZILLA SIMPSON LMHC
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 CounselorMH9315FL
2103K00000XBehavior AnalystMH9315FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1952517377
Entity Type Code : Individual
Provider Name (Legal Business Name) : ZILLA SIMPSON LMHC
Provider Business Mailing Address
First Line : PO BOX 227841
Second Line :
City : DORAL
State : FL
Zip : 33222-7841
Country : US
Telephone Number : 786-285-6805
Fax Number :
Provider Business Practice Location Address
First Line : 4800 W FLAGLER ST STE 215
Second Line :
City : CORAL GABLES
State : FL
Zip : 33134-1402
Country : US
Telephone Number : 954-368-4786
Fax Number : 954-368-4101
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/15/2007
Last Update Date : 09/26/2024

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Directions to “ ZILLA SIMPSON LMHC” Practice Location

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