Doctor Name: | MRS. ELOIS JEAN SIMS |
NPI Number: | 1255526083 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LCSW |
License Number: | 1660 |
Business Practice Address: | 289 Ireland Ave Ireland Army Community Hospital Fort Knox, KY - 401215111 |
Business Phone Number: | 5026249266 |
Business Fax Number: | 5026249289 |
Mailing Address: | 289 Ireland Ave, Ireland Army Community Hospital FORT KNOX |
State: | KY |
Postal Code: | 401215111 |
Phone Number: | 5026249266 |
Fax Number: | 5026249289 |
NPI Enumeration Date: | 09/14/2007 |
NPI Last Update Date: | 09/14/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | 1660 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | KY |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |