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NPI Code Detail

MEDICARE: MRS. CHRISTINA SONA SIMMONS LPC

MEDICARE: MRS. CHRISTINA SONA SIMMONS 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
1101YM0800XMental Health CounselorLPC010960GA

General Provider Information

NPI Number : 1528605433
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. CHRISTINA SONA SIMMONS LPC
Provider Business Mailing Address
First Line : 934 BRIARCLIFF RD NE
Second Line :
City : ATLANTA
State : GA
Zip : 30306-2655
Country : US
Telephone Number : 404-888-7313
Fax Number : 404-888-7546
Provider Business Practice Location Address
First Line : 1995 N PARK PL SE STE 422
Second Line :
City : ATLANTA
State : GA
Zip : 30339-2072
Country : US
Telephone Number : 770-372-3103
Fax Number : 919-416-0804
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/10/2019
Last Update Date : 12/10/2019

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Directions to “ MRS. CHRISTINA SONA SIMMONS LPC” Practice Location

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