Healthcare Provider Details

I. General information

NPI: 1467064428
Provider Name (Legal Business Name): KAYLA M SIMS LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/20/2020
Last Update Date: 09/24/2026
Certification Date: 09/24/2026
Deactivation Date: 08/18/2021
Reactivation Date: 07/22/2026

III. Provider practice location address

3424 PEACHTREE ST. STE 2200
ATLANTA GA
30326-1156
US

IV. Provider business mailing address

PO BOX 746878
ATLANTA GA
30374-6878
US

V. Phone/Fax

Practice location:
  • Phone: 323-205-7088
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberLPC014015
License Number StateGA
# 2
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number0701016851
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: