Provider Demographics
NPI:1144110966
Name:SIMS, ASIA (LAC)
Entity type:Individual
Prefix:MRS
First Name:ASIA
Middle Name:
Last Name:SIMS
Suffix:
Gender:F
Credentials:LAC
Other - Prefix:MISS
Other - First Name:ASIA
Other - Middle Name:
Other - Last Name:ABRAHAM
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LAC
Mailing Address - Street 1:1435 KODIE ST
Mailing Address - Street 2:
Mailing Address - City:CONWAY
Mailing Address - State:AR
Mailing Address - Zip Code:72032-8595
Mailing Address - Country:US
Mailing Address - Phone:870-209-4034
Mailing Address - Fax:
Practice Address - Street 1:117 FINANCIAL DR
Practice Address - Street 2:
Practice Address - City:CABOT
Practice Address - State:AR
Practice Address - Zip Code:72023-8668
Practice Address - Country:US
Practice Address - Phone:501-222-9382
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-07-03
Last Update Date:2025-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARA2507002101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health