MEDICARE: DR. RACHEL SIMMS PSY.D., L.C.P.C

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	LGP6567	MD
2	101YP2500X	Professional Counselor		MD
3	101YP2500X	Professional Counselor	LC7791	MD
4	103T00000X	Psychologist	06739	MD

General Provider Information

NPI Number	:	1376910851
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. RACHEL SIMMS PSY.D., L.C.P.C

Provider Business Mailing Address
First Line	:	8850 COLUMBIA 100 PKWY
Second Line	:	#203
City	:	COLUMBIA
State	:	MD
Zip	:	21045-2374
Country	:	US
Telephone Number	:	443-546-4476
Fax Number	:	443-546-4473

Provider Business Practice Location Address
First Line	:	8850 COLUMBIA 100 PKWY
Second Line	:	#203
City	:	COLUMBIA
State	:	MD
Zip	:	21045-2374
Country	:	US
Telephone Number	:	443-546-4476
Fax Number	:	443-546-4473

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

Provider Enumeration Date	:	08/31/2015
Last Update Date	:	11/10/2021

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