Doctor Name: | NICOLE SIMONSON |
NPI Number: | 1326467929 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LPC, NCC |
License Number: | 1872 |
Business Practice Address: | 3531 Lakeland Dr Suite 1060 Flowood, MS - 392328049 |
Business Phone Number: | 6014205410 |
Business Fax Number: | |
Mailing Address: | 3531 Lakeland Drive, Suite 1060 FLOWOOD |
State: | MS |
Postal Code: | 39232 |
Phone Number: | 6014205810 |
Fax Number: | |
NPI Enumeration Date: | 04/10/2014 |
NPI Last Update Date: | 04/17/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | 1872 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MS |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |