Healthcare Provider Details

I. General information

NPI: 1720942667
Provider Name (Legal Business Name): NATALIE SIMMS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/15/2025
Last Update Date: 12/15/2025
Certification Date: 12/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1288 VALLEY FORGE RD STE 80
PHOENIXVILLE PA
19460-2687
US

IV. Provider business mailing address

808 WINCHESTER CT
WEST CHESTER PA
19382-6205
US

V. Phone/Fax

Practice location:
  • Phone: 484-718-2143
  • Fax:
Mailing address:
  • Phone: 215-518-3862
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: