Healthcare Provider Details

I. General information

NPI: 1356253942
Provider Name (Legal Business Name): LATONIA SIMMONS, LMHC, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/19/2026
Last Update Date: 09/19/2026
Certification Date: 09/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

825 TEMPLE ST
COCOA FL
32922-7114
US

IV. Provider business mailing address

825 TEMPLE ST
COCOA FL
32922-7114
US

V. Phone/Fax

Practice location:
  • Phone: 321-613-8466
  • Fax:
Mailing address:
  • Phone: 321-613-8466
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0855X
TaxonomyAdolescent and Children Mental Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MRS. LATONIA SIMMONS LATONIA SIMMONS
Title or Position: LICENSED MENTAL HEALTH COUNSELOR
Credential: MA, CWCM, LMHC
Phone: 321-750-6201