Provider Demographics
NPI:1659039014
Name:SIMMONS, TAMARA P (LMSW)
Entity Type:Individual
Prefix:MRS
First Name:TAMARA
Middle Name:P
Last Name:SIMMONS
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:3960 HARLEM RD STE 13
Mailing Address - Street 2:
Mailing Address - City:AMHERST
Mailing Address - State:NY
Mailing Address - Zip Code:14226-4746
Mailing Address - Country:US
Mailing Address - Phone:716-446-4168
Mailing Address - Fax:716-446-4140
Practice Address - Street 1:3960 HARLEM RD STE 13
Practice Address - Street 2:
Practice Address - City:AMHERST
Practice Address - State:NY
Practice Address - Zip Code:14226-4746
Practice Address - Country:US
Practice Address - Phone:716-446-4168
Practice Address - Fax:716-446-4140
Is Sole Proprietor?:No
Enumeration Date:2021-12-02
Last Update Date:2021-12-02
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health