Healthcare Provider Details

I. General information

NPI: 1033382338
Provider Name (Legal Business Name): SIMS COUNSELING PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/08/2008
Last Update Date: 04/09/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2920 E JEFFERSON AVE
DETROIT MI
48207-5028
US

IV. Provider business mailing address

2920 E JEFFERSON AVE
DETROIT MI
48207-5028
US

V. Phone/Fax

Practice location:
  • Phone: 313-568-1808
  • Fax: 313-557-5143
Mailing address:
  • Phone: 313-568-1808
  • Fax: 313-557-5143

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number6401006857
License Number StateMI
# 2
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: DR. FRANCINE SIMS
Title or Position: OWNER
Credential: LPC
Phone: 313-568-1808