Provider Demographics
NPI:1790855963
Name:SIMS, ANDREA D (MED, LPC)
Entity Type:Individual
Prefix:MRS
First Name:ANDREA
Middle Name:D
Last Name:SIMS
Suffix:
Gender:F
Credentials:MED, LPC
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:722 COLLINS HILL RD
Mailing Address - Street 2:SUITE H-311
Mailing Address - City:LAWRENCEVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30046-4118
Mailing Address - Country:US
Mailing Address - Phone:404-496-5041
Mailing Address - Fax:404-424-9383
Practice Address - Street 1:3455 LAWRENCEVILLE SUWANEE RD
Practice Address - Street 2:SUITE D
Practice Address - City:SUWANEE
Practice Address - State:GA
Practice Address - Zip Code:30024-6425
Practice Address - Country:US
Practice Address - Phone:404-496-5041
Practice Address - Fax:404-424-9383
Is Sole Proprietor?:No
Enumeration Date:2006-11-08
Last Update Date:2015-02-09
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
GALPC000790101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional