Healthcare Provider Details

I. General information

NPI: 1497193635
Provider Name (Legal Business Name): SIMS CONSULTING & CLINICAL SERVICES INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/10/2013
Last Update Date: 06/11/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1600 E WENDOVER AVE SUITE C
GREENSBORO NC
27405-6871
US

IV. Provider business mailing address

119 WEST AVE
KANNAPOLIS NC
28081-4332
US

V. Phone/Fax

Practice location:
  • Phone: 704-630-6634
  • Fax: 866-828-5520
Mailing address:
  • Phone: 704-630-6634
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number StateNC
# 3
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number StateNC

VIII. Authorized Official

Name: ARLANA SIMS
Title or Position: CEO
Credential: PHD
Phone: 980-521-5040