Healthcare Provider Details

I. General information

NPI: 1598420630
Provider Name (Legal Business Name): SUZANNE CAUSEY SIMS LCMHC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/03/2021
Last Update Date: 06/24/2026
Certification Date: 06/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

414 PARKSIDE PL
ZEBULON NC
27597-2152
US

IV. Provider business mailing address

200 E GANNON AVE UNIT A220
ZEBULON NC
27597-2704
US

V. Phone/Fax

Practice location:
  • Phone: 919-375-3006
  • Fax: 919-375-3772
Mailing address:
  • Phone: 919-375-3006
  • Fax: 919-375-3772

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberA17037
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: