Provider Demographics
NPI:1134659295
Name:SIMMONS, LOUISE PAIGE (LPCMH)
Entity Type:Individual
Prefix:
First Name:LOUISE
Middle Name:PAIGE
Last Name:SIMMONS
Suffix:
Gender:F
Credentials:LPCMH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:401 ABBOTSFORD LN
Mailing Address - Street 2:
Mailing Address - City:NEWARK
Mailing Address - State:DE
Mailing Address - Zip Code:19711-1511
Mailing Address - Country:US
Mailing Address - Phone:848-482-0127
Mailing Address - Fax:
Practice Address - Street 1:1213 DELAWARE AVE
Practice Address - Street 2:
Practice Address - City:WILMINGTON
Practice Address - State:DE
Practice Address - Zip Code:19806-4707
Practice Address - Country:US
Practice Address - Phone:302-652-3948
Practice Address - Fax:302-652-8297
Is Sole Proprietor?:Yes
Enumeration Date:2017-06-12
Last Update Date:2017-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEPC-0000807101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
DEPC-0000807OtherLPCMH