Simmetrice Humphrey
Individual provider Active NPI Community/Behavioral Health Agency · Bacliff, TX
NPI 1508369083 · NPPES record last updated Jul 24, 2024
Key facts
- NPI
- 1508369083
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Community/Behavioral Health Agency 251S00000X
- Practice address
- 1215 Avenue E
Bacliff, TX 77518-2520 - Phone
- (832) 855-1204
- NPI assigned
- Mar 12, 2018
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ann&Agnes Limited Liability Company | Current |
Accepting new patients | |
| Ann&Agnes Limited Liability Company | Secured Medical Transport (Van) | Current |
Accepting new patients |
Locations
1215 Avenue E
Bacliff, TX 77518
Phone (832) 855-1204
3228 13th Ave N
Texas City, TX 77590
2818 Palmer Hwy
Texas City, TX 77590
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Secured Medical Transport (VAN) | 343800000X | |||
| Community/Behavioral Health Agency | 251S00000X | Yes |
Addresses
Primary practice location
1215 Avenue E
Bacliff, TX 77518-2520
Mailing address
1215 Avenue E
Bacliff, TX 77518-2520
Phone (832) 855-1204
Other providers in Bacliff, TX
- Christopher Demmeck
- Dickinson Isd
- Sara Michelle Gay
- Grace Abundant Counseling Center
- Linda K Hester
- Valerie Imperial
- Shavonda Lindsey
- Lauren McElyea
- Harold Craig McGregor
- William Allen Miller
All providers in Bacliff, TX · Community/Behavioral Health Agency in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 24, 2024. 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.