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NPI Code Detail

MEDICARE: SIMMONS COUNSELING SERVICES

MEDICARE: SIMMONS COUNSELING SERVICES
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 Counselor10958FL

General Provider Information

NPI Number : 1891030862
Entity Type Code : Organization
Provider Name (Legal Business Name) : SIMMONS COUNSELING SERVICES
Provider Business Mailing Address
First Line : 206 W SYBELIA AVE
Second Line :
City : MAITLAND
State : FL
Zip : 32751-4739
Country : US
Telephone Number : 321-332-8540
Fax Number :
Provider Business Practice Location Address
First Line : 206 W SYBELIA AVE
Second Line :
City : MAITLAND
State : FL
Zip : 32751-4739
Country : US
Telephone Number : 321-332-8540
Fax Number :
Authorized Official
Title or Position : OWNER
Name : DAVID JEREMIAH SIMMONS
Credential :
Telephone Number : 321-332-8540
Provider Enumeration Date : 12/03/2012
Last Update Date : 10/04/2021

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