MEDICARE: KIA SIMPKINS 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	0701009570	VA

General Provider Information

NPI Number	:	1285252528
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KIA SIMPKINS LPC

Provider Business Mailing Address
First Line	:	11923 CENTRE ST STE A
Second Line	:
City	:	CHESTER
State	:	VA
Zip	:	23831-1702
Country	:	US
Telephone Number	:	804-454-0306
Fax Number	:

Provider Business Practice Location Address
First Line	:	11923 CENTRE ST STE A
Second Line	:
City	:	CHESTER
State	:	VA
Zip	:	23831-1702
Country	:	US
Telephone Number	:	804-454-0306
Fax Number	:

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

Provider Enumeration Date	:	07/13/2020
Last Update Date	:	10/30/2020

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Directions to “ KIA SIMPKINS LPC” Practice Location

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