Provider Demographics
NPI:1649582347
Name:SIMS, BENTA A (LPC)
Entity Type:Individual
Prefix:
First Name:BENTA
Middle Name:A
Last Name:SIMS
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:105 N VIRGINIA AVE
Mailing Address - Street 2:SUITE 309
Mailing Address - City:FALLS CHURCH
Mailing Address - State:VA
Mailing Address - Zip Code:22046-3339
Mailing Address - Country:US
Mailing Address - Phone:703-244-9232
Mailing Address - Fax:
Practice Address - Street 1:105 N VIRGINIA AVE
Practice Address - Street 2:SUITE 309
Practice Address - City:FALLS CHURCH
Practice Address - State:VA
Practice Address - Zip Code:22046-3339
Practice Address - Country:US
Practice Address - Phone:703-244-9232
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-07-09
Last Update Date:2010-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0701004818101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional