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NPI Code Detail

MEDICARE: MISS ANTOINETTE M SIMS

MEDICARE:  MISS ANTOINETTE M SIMS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health Counselor

General Provider Information

NPI Number : 1033623657
Entity Type Code : Individual
Provider Name (Legal Business Name) : MISS ANTOINETTE M SIMS
Provider Business Mailing Address
First Line : 4720 PAULINE DR
Second Line :
City : NEW ORLEANS
State : LA
Zip : 70126-3653
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 4720 PAULINE DR
Second Line :
City : NEW ORLEANS
State : LA
Zip : 70126-3653
Country : US
Telephone Number : 504-483-3558
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/17/2017
Last Update Date : 11/17/2017

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Directions to “ MISS ANTOINETTE M SIMS ” Practice Location

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