Healthcare Provider Details

I. General information

NPI: 1184530065
Provider Name (Legal Business Name): LESLIE ANNE SIMS LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/20/2026
Last Update Date: 08/20/2026
Certification Date: 08/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2602 SHADY BAYOU LN
SPRING TX
77373-9123
US

IV. Provider business mailing address

151 S RIDGE PARK DR
MAGNOLIA TX
77354-4124
US

V. Phone/Fax

Practice location:
  • Phone: 832-594-6115
  • Fax:
Mailing address:
  • Phone: 832-594-6115
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number104555
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: