MEDICARE: INDIA SIMMS LCMFT

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	106H00000X	Marriage & Family Therapist	46-3534610	MD

General Provider Information

NPI Number	:	1740615020
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	INDIA SIMMS LCMFT

Provider Business Mailing Address
First Line	:	9722 GROFFS MILL DR STE 748
Second Line	:
City	:	OWINGS MILLS
State	:	MD
Zip	:	21117-6341
Country	:	US
Telephone Number	:	216-798-7388
Fax Number	:

Provider Business Practice Location Address
First Line	:	4552 HIDDEN STREAM CT
Second Line	:
City	:	OWINGS MILLS
State	:	MD
Zip	:	21117-4837
Country	:	US
Telephone Number	:	443-798-2450
Fax Number	:

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

Provider Enumeration Date	:	09/05/2013
Last Update Date	:	09/21/2019

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