Angela Simmons, LPC, NBCC
Individual provider Active NPI Professional Counselor · Duson, LA
NPI 1316724701 · NPPES record last updated Sep 11, 2023
Key facts
- NPI
- 1316724701
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- 5504 (LA)
- Practice address
- 208 Tunica LN
Duson, LA 70529-3921 - Phone
- (337) 849-4988
- NPI assigned
- Sep 11, 2023
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5504 | LA | MD | Professional Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 5504 | LA | Yes |
Addresses
Primary practice location
208 Tunica LN
Duson, LA 70529-3921
Mailing address
208 Tunica LN
Duson, LA 70529-3921
Other providers in Duson, LA
- Preeminent Healthcare Systems
- Antionette Randall
- Sandra F Reiners
- Tiffany Smith Roy
- Lela Dewanna Sampson
- Melanie Singleton
- Keri Stevens
- Madelyn Isabella Stoute
- Tiffany Roy FNP LLC
- Tiffany Roy, FNP, L.L.C.
All providers in Duson, LA · Professional Counselor in Louisiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 11, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.