Provider Demographics
NPI:1396369930
Name:SIMS, SIMONE (MS, MS)
Entity Type:Individual
Prefix:
First Name:SIMONE
Middle Name:
Last Name:SIMS
Suffix:
Gender:F
Credentials:MS, MS
Other - Prefix:
Other - First Name:SIMONE
Other - Middle Name:
Other - Last Name:SIMS-RILEY
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MS, MS
Mailing Address - Street 1:100 N ACADEMY AVE
Mailing Address - Street 2:
Mailing Address - City:DANVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:17822-0001
Mailing Address - Country:US
Mailing Address - Phone:267-792-4135
Mailing Address - Fax:
Practice Address - Street 1:100 N ACADEMY AVE
Practice Address - Street 2:
Practice Address - City:DANVILLE
Practice Address - State:PA
Practice Address - Zip Code:17822-0001
Practice Address - Country:US
Practice Address - Phone:267-792-4135
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-05-29
Last Update Date:2022-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health