MEDICARE: JOCLYN SIMS WINDOM LPC

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
1	101YP2500X	Professional Counselor	LPC014262	GA
2	171400000X	Health & Wellness Coach
3	171M00000X	Case Manager/Care Coordinator
4	101YM0800X	Mental Health Counselor	LPC014262	GA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1134474620
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOCLYN SIMS WINDOM LPC

Provider Business Mailing Address
First Line	:	10620 COLONY GLEN DR
Second Line	:
City	:	ALPHARETTA
State	:	GA
Zip	:	30022-4914
Country	:	US
Telephone Number	:	334-552-1846
Fax Number	:

Provider Business Practice Location Address
First Line	:	11720 AMBER PARK DR STE 160
Second Line	:
City	:	ALPHARETTA
State	:	GA
Zip	:	30009-2271
Country	:	US
Telephone Number	:	334-552-1846
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/20/2012
Last Update Date	:	06/29/2025

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