Provider Demographics
NPI:1376298414
Name:SIMONS, DAVID ERIC III (LPC)
Entity Type:Individual
Prefix:MR
First Name:DAVID
Middle Name:ERIC
Last Name:SIMONS
Suffix:III
Gender:M
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:193 BEAVER ST
Mailing Address - Street 2:
Mailing Address - City:NEW BRIGHTON
Mailing Address - State:PA
Mailing Address - Zip Code:15066-2904
Mailing Address - Country:US
Mailing Address - Phone:724-650-2104
Mailing Address - Fax:
Practice Address - Street 1:193 BEAVER ST
Practice Address - Street 2:
Practice Address - City:NEW BRIGHTON
Practice Address - State:PA
Practice Address - Zip Code:15066-2904
Practice Address - Country:US
Practice Address - Phone:724-650-2104
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-02-17
Last Update Date:2022-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC014229101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional