Doctor Name: | MRS. JAIME SUGGS SIMMONS |
NPI Number: | 1992994016 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 5514 |
Business Practice Address: | 179 Brooke Run Lumber Bridge, NC - 283579613 |
Business Phone Number: | 9108484039 |
Business Fax Number: | 9108484039 |
Mailing Address: | 179 Brooke Run, LUMBER BRIDGE |
State: | NC |
Postal Code: | 283579613 |
Phone Number: | 9108484039 |
Fax Number: | 9108484039 |
NPI Enumeration Date: | 10/15/2007 |
NPI Last Update Date: | 10/15/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | 5514 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NC |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |