Healthcare Provider Details

I. General information

NPI: 1992389829
Provider Name (Legal Business Name): LORRAINE T. SIMMONS LCMHC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/06/2021
Last Update Date: 04/01/2026
Certification Date: 04/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1250 E 200 S STE 2B
LEHI UT
84043-1483
US

IV. Provider business mailing address

8142 N SIMPSON SPRINGS RD
EAGLE MOUNTAIN UT
84005-4731
US

V. Phone/Fax

Practice location:
  • Phone: 385-384-2102
  • Fax: 385-384-2102
Mailing address:
  • Phone: 801-319-0157
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number12052458-6009
License Number StateUT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: