Provider Demographics
NPI:1083903504
Name:SIMS, MEREDITH LEANN (MS, LPC)
Entity Type:Individual
Prefix:
First Name:MEREDITH
Middle Name:LEANN
Last Name:SIMS
Suffix:
Gender:F
Credentials:MS, LPC
Other - Prefix:
Other - First Name:MEREDITH
Other - Middle Name:LEANN
Other - Last Name:MILLER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 1108
Mailing Address - Street 2:
Mailing Address - City:TEMPLE
Mailing Address - State:TX
Mailing Address - Zip Code:76503-1108
Mailing Address - Country:US
Mailing Address - Phone:254-773-4022
Mailing Address - Fax:254-773-0919
Practice Address - Street 1:3010 SCOTT BLVD
Practice Address - Street 2:ST.E. #103
Practice Address - City:TEMPLE
Practice Address - State:TX
Practice Address - Zip Code:76504-6800
Practice Address - Country:US
Practice Address - Phone:254-773-4022
Practice Address - Fax:254-773-0919
Is Sole Proprietor?:Yes
Enumeration Date:2011-04-05
Last Update Date:2021-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX65398101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor