Healthcare Provider Details

I. General information

NPI: 1326993015
Provider Name (Legal Business Name): SACRED SEASONS COUNSELING PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/27/2026
Last Update Date: 02/27/2026
Certification Date: 02/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

793 HALE RD.
WEISER ID
83672
US

IV. Provider business mailing address

PO BOX 923
PAYETTE ID
83661-0923
US

V. Phone/Fax

Practice location:
  • Phone: 909-345-0601
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name: CHRISTINE SIMMS
Title or Position: MANAGING MEMBER/OWNER
Credential: MS, LMFT, LPCC, LCPC
Phone: 909-345-0601