Healthcare Provider Details

I. General information

NPI: 1972743078
Provider Name (Legal Business Name): SIMS SOCIAL SERVICES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/02/2009
Last Update Date: 08/20/2026
Certification Date: 08/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1799 STUMPF BLVD BLDG 6
TERRYTOWN LA
70056-3950
US

IV. Provider business mailing address

1799 STUMPF BLVD BLDG 6
TERRYTOWN LA
70056-3950
US

V. Phone/Fax

Practice location:
  • Phone: 504-788-6801
  • Fax: 504-788-6815
Mailing address:
  • Phone: 504-788-6801
  • Fax: 504-788-6815

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State

VIII. Authorized Official

Name: MS. TISHLINN SIMS
Title or Position: ADMINISTRATOR
Credential: LPC-S
Phone: 504-788-6801