Healthcare Provider Details

I. General information

NPI: 1043667926
Provider Name (Legal Business Name): SIMPSON HEALTH INSTITUTE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/19/2016
Last Update Date: 05/19/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9131 SW 122ND AVE 101
MIAMI FL
33186-2062
US

IV. Provider business mailing address

9131 SW 122ND AVE 101
MIAMI FL
33186-2062
US

V. Phone/Fax

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

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberMH-9315
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number State

VIII. Authorized Official

Name: ZILLA SIMPSON
Title or Position: PRESIDENT
Credential: LMHC
Phone: 786-285-6805