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NPI Code Detail

MEDICARE: MR. GLENN MURREN SIMPSON LMHC

MEDICARE: MR. GLENN MURREN SIMPSON LMHC
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 CounselorMH 2782FL

General Provider Information

NPI Number : 1366598211
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. GLENN MURREN SIMPSON LMHC
Provider Business Mailing Address
First Line : 4526 VIVIAN DR
Second Line :
City : SEBRING
State : FL
Zip : 33872-1722
Country : US
Telephone Number : 863-382-9160
Fax Number : 863-382-9169
Provider Business Practice Location Address
First Line : 4421 SUN N LAKE BLVD
Second Line : SUITE A
City : SEBRING
State : FL
Zip : 33872-2166
Country : US
Telephone Number : 863-314-4357
Fax Number : 863-382-1279
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/25/2007
Last Update Date : 07/08/2007

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