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NPI Code Detail

MEDICARE: HEATHER SIMS LPC

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
1101YP2500XProfessional CounselorLPC05104AL

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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