Simmons, Laura Rae

Simmons, Laura Rae is an sole proprietor health care provider with primary practice located at 7969 Ashton Ave , Manassas VA 20109-2885. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Simmons, Laura Rae can be contacted via phone (703) 792-7800.

Contact Information

Primary practice address
7969 Ashton Ave Manassas VA 20109-2885
Phone: (703) 792-7800
Fax: (703) 792-5699
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 0701003597 Virginia

Profile Details

NPI number 1821113366
LBN Legal business name Simmons, Laura Rae
Credentials MA,LPC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 21st, 2007
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1821113366 NPPES
Virginia MEDICAID 4945247
Virginia Other 105700
Virginia Other 292848

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