Provider Demographics
NPI:1821224684
Name:SIMPSON, JANIS HALKER (LMHC, LMFT)
Entity Type:Individual
Prefix:
First Name:JANIS
Middle Name:HALKER
Last Name:SIMPSON
Suffix:
Gender:F
Credentials:LMHC, LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2949 W STATE ROAD 434
Mailing Address - Street 2:SUITE 100
Mailing Address - City:LONGWOOD
Mailing Address - State:FL
Mailing Address - Zip Code:32779-4458
Mailing Address - Country:US
Mailing Address - Phone:407-616-6207
Mailing Address - Fax:
Practice Address - Street 1:2949 W STATE ROAD 434
Practice Address - Street 2:SUITE 100
Practice Address - City:LONGWOOD
Practice Address - State:FL
Practice Address - Zip Code:32779-4458
Practice Address - Country:US
Practice Address - Phone:407-616-6207
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-06-08
Last Update Date:2009-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH9868; MT2388101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health