| Doctor Name: | LEE DAVID SIMMONS |
| NPI Number: | 1326379827 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MSSW/LISW |
| License Number: | X-06861 |
| Business Practice Address: | 11 Elm St Mescalero, NM - 883400620 |
| Business Phone Number: | 5759374743 |
| Business Fax Number: | 5754644847 |
| Mailing Address: | Po Box 620, MESCALERO |
| State: | NM |
| Postal Code: | 883400620 |
| Phone Number: | 5759374743 |
| Fax Number: | 5754644847 |
| NPI Enumeration Date: | 01/22/2010 |
| NPI Last Update Date: | 01/22/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | X-06861 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NM |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |