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NPI Code Detail

MEDICARE: MRS. KATHRINE YVONNE SIMMS

MEDICARE: MRS. KATHRINE YVONNE SIMMS
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 Counselor1194912584MD

General Provider Information

NPI Number : 1194912584
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. KATHRINE YVONNE SIMMS
Provider Business Mailing Address
First Line : 10490 LITTLE PATUXENT PKWY STE 600
Second Line :
City : COLUMBIA
State : MD
Zip : 21044-4941
Country : US
Telephone Number : 667-225-1494
Fax Number :
Provider Business Practice Location Address
First Line : 10490 LITTLE PATUXENT PKWY STE 600
Second Line :
City : COLUMBIA
State : MD
Zip : 21044-4941
Country : US
Telephone Number : 667-225-1494
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/28/2007
Last Update Date : 02/01/2024

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Directions to “ MRS. KATHRINE YVONNE SIMMS ” Practice Location

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