Healthcare Provider Details

I. General information

NPI: 1427020809
Provider Name (Legal Business Name): SIMS CONSULTING & CLINICAL SERVICES INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/01/2006
Last Update Date: 09/04/2024
Certification Date: 09/04/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

810 N MAIN ST
KANNAPOLIS NC
28081-1112
US

IV. Provider business mailing address

810 N MAIN ST
KANNAPOLIS NC
28081-1112
US

V. Phone/Fax

Practice location:
  • Phone: 980-521-5040
  • Fax: 866-828-5520
Mailing address:
  • Phone: 980-521-5040
  • Fax: 866-828-5520

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number3322
License Number StateNC
# 2
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number StateNC
# 3
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number StateNC

VIII. Authorized Official

Name: DR. ARLANA DODSON SIMS
Title or Position: EXECUTIVE DIRECTOR
Credential: PHD
Phone: 980-521-5040