MEDICARE: HEATHER SIMS 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	LPC05104	AL

General Provider Information

NPI Number	:	1699320663
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HEATHER SIMS LPC

Provider Business Mailing Address
First Line	:	421 GARY DR
Second Line	:
City	:	MOUNT OLIVE
State	:	AL
Zip	:	35117-3230
Country	:	US
Telephone Number	:	205-500-2145
Fax Number	:

Provider Business Practice Location Address
First Line	:	2100 SOUTHBRIDGE PKWY STE 650
Second Line	:
City	:	BIRMINGHAM
State	:	AL
Zip	:	35209-1317
Country	:	US
Telephone Number	:	646-941-7645
Fax Number	:	929-596-7897

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

Provider Enumeration Date	:	08/07/2019
Last Update Date	:	03/12/2024

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Directions to “ HEATHER SIMS LPC” Practice Location

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