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NPI Code Detail

MEDICARE: MRS. ATHELA MARIE SIMS QBHS

MEDICARE: MRS. ATHELA MARIE SIMS QBHS
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
1101YA0400XAddiction (Substance Use Disorder) CounselorQBHSOH

General Provider Information

NPI Number : 1114709961
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. ATHELA MARIE SIMS QBHS
Provider Business Mailing Address
First Line : 5460 CLEVELAND AVE
Second Line :
City : COLUMBUS
State : OH
Zip : 43231-4074
Country : US
Telephone Number : 614-568-8236
Fax Number : 614-725-2829
Provider Business Practice Location Address
First Line : 5460 CLEVELAND AVE
Second Line :
City : COLUMBUS
State : OH
Zip : 43231-4074
Country : US
Telephone Number : 614-568-8236
Fax Number : 614-725-2829
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/17/2023
Last Update Date : 10/17/2023

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