Provider Demographics
NPI:1184633265
Name:DON A. SIMS
Entity Type:Organization
Organization Name:DON A. SIMS
Other - Org Name:COUNSELING ASSOCIATES OF WEST TENNESSEE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:DON
Authorized Official - Middle Name:A
Authorized Official - Last Name:SIMS
Authorized Official - Suffix:
Authorized Official - Credentials:MSSW, LCSW
Authorized Official - Phone:731-644-1089
Mailing Address - Street 1:1117 E WOOD ST
Mailing Address - Street 2:
Mailing Address - City:PARIS
Mailing Address - State:TN
Mailing Address - Zip Code:38242-4326
Mailing Address - Country:US
Mailing Address - Phone:731-644-1089
Mailing Address - Fax:731-644-2173
Practice Address - Street 1:1117 E WOOD ST
Practice Address - Street 2:
Practice Address - City:PARIS
Practice Address - State:TN
Practice Address - Zip Code:38242-4326
Practice Address - Country:US
Practice Address - Phone:731-644-1089
Practice Address - Fax:731-644-2173
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-06
Last Update Date:2008-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNLPC0000000570101YM0800X
TNLSW00000004071041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN003012530OtherBCBST-JEANNIE J. SIMS LPC
TN41564132601Medicaid
TN42470836301Medicaid
TN0085945OtherBCBST-DON A. SIMS LCSW
TN415641326OtherTRICARE-JEANNIEJ.SIMS LPC
TN424708363OtherTRICARE-DON A. SIMS LCSW
TN415641326OtherTRICARE-JEANNIEJ.SIMS LPC