Provider Demographics
NPI:1073922282
Name:SIMMONS, ELIZABETH LANE (LMFTA)
Entity Type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:LANE
Last Name:SIMMONS
Suffix:
Gender:F
Credentials:LMFTA
Other - Prefix:
Other - First Name:ELIZABETH
Other - Middle Name:LANE
Other - Last Name:DEMOS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LMFTA
Mailing Address - Street 1:23 ADAMS ST
Mailing Address - Street 2:
Mailing Address - City:ASHEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28801-4302
Mailing Address - Country:US
Mailing Address - Phone:828-989-0834
Mailing Address - Fax:
Practice Address - Street 1:131 MCDOWELL ST.
Practice Address - Street 2:RHA HEALTH SERVICES, INC
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28801
Practice Address - Country:US
Practice Address - Phone:828-989-0834
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-08-13
Last Update Date:2014-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC9051A106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist