MEDICARE: MS. ANGELA 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	81194	TX

General Provider Information

NPI Number	:	1992459770
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. ANGELA SIMS LPC

Provider Business Mailing Address
First Line	:	4400 W UNIVERSITY BLVD APT 12306
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75209-3887
Country	:	US
Telephone Number	:	432-209-6067
Fax Number	:

Provider Business Practice Location Address
First Line	:	4400 W UNIVERSITY BLVD APT 12306
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75209-3887
Country	:	US
Telephone Number	:	432-209-6067
Fax Number	:

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

Provider Enumeration Date	:	02/09/2022
Last Update Date	:	08/01/2023

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