Healthcare Provider Details

I. General information

NPI: 1891627295
Provider Name (Legal Business Name): MADELINE SIMS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/01/2026
Last Update Date: 06/01/2026
Certification Date: 06/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1384 OLD FREEPORT RD STE 3AF2
PITTSBURGH PA
15238-3129
US

IV. Provider business mailing address

1384 OLD FREEPORT RD STE 3AF2
PITTSBURGH PA
15238-3129
US

V. Phone/Fax

Practice location:
  • Phone: 724-584-4305
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: