Provider Demographics
NPI:1376304675
Name:CHARMAINE J. SIMMONS, MA, LPC, PLLC
Entity Type:Organization
Organization Name:CHARMAINE J. SIMMONS, MA, LPC, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CHARMAINE
Authorized Official - Middle Name:J
Authorized Official - Last Name:SIMMONS
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:281-930-5719
Mailing Address - Street 1:PO BOX 701412
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77270-0017
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:W 19TH STREET
Practice Address - Street 2:701412
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77270-0017
Practice Address - Country:US
Practice Address - Phone:281-930-5719
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:CHARMAINE J. SIMMONS, MA, LPC, PLLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2024-01-23
Last Update Date:2024-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
No261QM1300XAmbulatory Health Care FacilitiesClinic/CenterMulti-SpecialtyGroup - Multi-Specialty