| Doctor Name: | MRS. VICKIE ANN SIMON |
| NPI Number: | 1083644868 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | RN AND LAC |
| License Number: | 793 |
| Business Practice Address: | 611 W Admiral Doyle Dr New Iberia, LA - 705606408 |
| Business Phone Number: | 3373730002 |
| Business Fax Number: | 3373730129 |
| Mailing Address: | 111 Gauthier Rd, LAFAYETTE |
| State: | LA |
| Postal Code: | 705018347 |
| Phone Number: | 3372785396 |
| Fax Number: | |
| NPI Enumeration Date: | 07/04/2006 |
| NPI Last Update Date: | 07/09/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YA0400X |
| License Number: | 793 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | LA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Addiction (Substance Use Disorder) |
| Taxonomy Definition: | |