Provider Demographics
NPI:1699223883
Name:SIMMONS, BAYLEY
Entity Type:Individual
Prefix:MS
First Name:BAYLEY
Middle Name:
Last Name:SIMMONS
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 1:8001 BREVARD AVE
Mailing Address - Street 2:APT A
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70127-1150
Mailing Address - Country:US
Mailing Address - Phone:504-905-9300
Mailing Address - Fax:
Practice Address - Street 1:8001 BREVARD AVE
Practice Address - Street 2:APT A
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70127-1150
Practice Address - Country:US
Practice Address - Phone:504-905-9300
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-09-15
Last Update Date:2016-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor