Doctor Name: | TREMAYNE W SIMPKINS |
NPI Number: | 1750696183 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | |
License Number: | |
Business Practice Address: | 2180 Snow Hill Rd Chuluota, FL - 327669696 |
Business Phone Number: | 4079770336 |
Business Fax Number: | |
Mailing Address: | 225 N Burnett Rd, COCOA |
State: | FL |
Postal Code: | 329264242 |
Phone Number: | 3215042050 |
Fax Number: | |
NPI Enumeration Date: | 08/10/2010 |
NPI Last Update Date: | 04/22/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |