Provider Demographics
NPI:1376910851
Name:SIMMS, RACHEL (PSYD, LCPC)
Entity Type:Individual
Prefix:DR
First Name:RACHEL
Middle Name:
Last Name:SIMMS
Suffix:
Gender:F
Credentials:PSYD, LCPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8850 COLUMBIA 100 PKWY
Mailing Address - Street 2:#203
Mailing Address - City:COLUMBIA
Mailing Address - State:MD
Mailing Address - Zip Code:21045-2374
Mailing Address - Country:US
Mailing Address - Phone:443-546-4476
Mailing Address - Fax:443-546-4473
Practice Address - Street 1:8850 COLUMBIA 100 PKWY
Practice Address - Street 2:#203
Practice Address - City:COLUMBIA
Practice Address - State:MD
Practice Address - Zip Code:21045-2374
Practice Address - Country:US
Practice Address - Phone:443-546-4476
Practice Address - Fax:443-546-4473
Is Sole Proprietor?:No
Enumeration Date:2015-08-31
Last Update Date:2021-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDLGP6567101YP2500X
MD101YP2500X
MDLC7791101YP2500X
MD06739103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional