Simms, Carolyn
Simms, Carolyn is an individual health care provider with primary practice located at 10111 Martin Luther King Hwy Suite 103, Bowie MD 20720. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Simms, Carolyn can be contacted via phone (301) 459-0708.Contact Information
Primary practice address
10111 Martin Luther King Hwy Suite 103
Bowie MD 20720
Phone: (301) 459-0708
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | ||
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | ||
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | Maryland |
Profile Details
| NPI number | 1952896458 |
|---|---|
| LBN Legal business name | Simms, Carolyn |
| Credentials | LCPC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 27th, 2018 |
| Last updated | Apr 25th, 2022 - about 4 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1952896458 | NPPES |
| Maryland | MEDICAID | 819022400 |
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