Provider Demographics
NPI:1477299592
Name:SIMMONS, HOWARD CARL II (LPC)
Entity Type:Individual
Prefix:MR
First Name:HOWARD
Middle Name:CARL
Last Name:SIMMONS
Suffix:II
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 1:5329 BLACKWATER LOOP
Mailing Address - Street 2:
Mailing Address - City:VIRGINIA BEACH
Mailing Address - State:VA
Mailing Address - Zip Code:23457-1137
Mailing Address - Country:US
Mailing Address - Phone:757-219-2293
Mailing Address - Fax:
Practice Address - Street 1:5329 BLACKWATER LOOP
Practice Address - Street 2:
Practice Address - City:VIRGINIA BEACH
Practice Address - State:VA
Practice Address - Zip Code:23457-1137
Practice Address - Country:US
Practice Address - Phone:757-219-2293
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-05-11
Last Update Date:2022-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0701011452101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional