Provider Demographics
NPI:1417696386
Name:SIMON, SAMIONE
Entity Type:Individual
Prefix:
First Name:SAMIONE
Middle Name:
Last Name:SIMON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7464 EXCHANGE PL STE 201
Mailing Address - Street 2:
Mailing Address - City:BATON ROUGE
Mailing Address - State:LA
Mailing Address - Zip Code:70806-1519
Mailing Address - Country:US
Mailing Address - Phone:225-831-4998
Mailing Address - Fax:
Practice Address - Street 1:7464 EXCHANGE PL STE 201
Practice Address - Street 2:
Practice Address - City:BATON ROUGE
Practice Address - State:LA
Practice Address - Zip Code:70806-1519
Practice Address - Country:US
Practice Address - Phone:225-831-4998
Practice Address - Fax:225-831-4998
Is Sole Proprietor?:Yes
Enumeration Date:2022-05-31
Last Update Date:2022-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator