Provider Demographics
NPI:1497008106
Name:SIMS, DARRYL BRITTON
Entity Type:Individual
Prefix:MR
First Name:DARRYL
Middle Name:BRITTON
Last Name:SIMS
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12 GOUGH ST
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94103-1290
Mailing Address - Country:US
Mailing Address - Phone:415-864-2364
Mailing Address - Fax:415-864-0116
Practice Address - Street 1:12 GOUGH ST
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94103-1290
Practice Address - Country:US
Practice Address - Phone:415-864-2364
Practice Address - Fax:415-864-0116
Is Sole Proprietor?:No
Enumeration Date:2012-10-18
Last Update Date:2012-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)