Provider Demographics
NPI:1184018517
Name:SIMS, CHERYL DENESE (MD)
Entity Type:Individual
Prefix:
First Name:CHERYL
Middle Name:DENESE
Last Name:SIMS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3945 SE 15TH ST
Mailing Address - Street 2:SUITE 107
Mailing Address - City:DEL CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73115-2249
Mailing Address - Country:US
Mailing Address - Phone:405-885-6277
Mailing Address - Fax:
Practice Address - Street 1:3945 SE 15TH ST
Practice Address - Street 2:SUITE 107
Practice Address - City:DEL CITY
Practice Address - State:OK
Practice Address - Zip Code:73115-2249
Practice Address - Country:US
Practice Address - Phone:405-885-6277
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-03-24
Last Update Date:2015-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor