Healthcare Provider Details

I. General information

NPI: 1952517377
Provider Name (Legal Business Name): ZILLA SIMPSON LMHC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/15/2007
Last Update Date: 07/01/2026
Certification Date: 07/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2780 SW 37TH AVE STE 206
COCONUT GROVE FL
33133-2740
US

IV. Provider business mailing address

PO BOX 227841
DORAL FL
33222-7841
US

V. Phone/Fax

Practice location:
  • Phone: 305-646-0112
  • Fax:
Mailing address:
  • Phone: 786-285-6805
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberMH9315
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License NumberMH9315
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: