MEDICARE: ERICA 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	101YM0800X	Mental Health Counselor	15992	AZ

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1891248381
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ERICA SIMS LPC

Provider Business Mailing Address
First Line	:	24654 N LAKE PLEASANT PKWY # 103-328
Second Line	:
City	:	PEORIA
State	:	AZ
Zip	:	85383-1359
Country	:	US
Telephone Number	:	602-777-1268
Fax Number	:	866-251-5468

Provider Business Practice Location Address
First Line	:	13201 N 35TH AVE STE 5B
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85029-1231
Country	:	US
Telephone Number	:	602-777-1268
Fax Number	:	866-251-5468

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

Provider Enumeration Date	:	08/01/2016
Last Update Date	:	03/01/2019

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Directions to “ ERICA SIMS LPC” Practice Location

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