Provider Demographics
NPI:1366851875
Name:SIMMONS, SHNAI (LPC, LMHC)
Entity Type:Individual
Prefix:DR
First Name:SHNAI
Middle Name:
Last Name:SIMMONS
Suffix:
Gender:F
Credentials:LPC, LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15438 N FLORIDA AVE # 106N
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33613-1256
Mailing Address - Country:US
Mailing Address - Phone:813-867-8855
Mailing Address - Fax:813-906-0206
Practice Address - Street 1:15438 N FLORIDA AVE # 106N
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33613-1256
Practice Address - Country:US
Practice Address - Phone:813-867-8855
Practice Address - Fax:813-906-0206
Is Sole Proprietor?:Yes
Enumeration Date:2014-08-08
Last Update Date:2024-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0701005890101YM0800X, 101YP2500X
FLMH 13166101YP2500X
FLMH13166101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional