Provider Demographics
NPI:1891073755
Name:SIMERS, TOBIAS W (LPC)
Entity Type:Individual
Prefix:
First Name:TOBIAS
Middle Name:W
Last Name:SIMERS
Suffix:
Gender:M
Credentials:LPC
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:420 TANAGER HILL TER
Mailing Address - Street 2:
Mailing Address - City:WILDWOOD
Mailing Address - State:MO
Mailing Address - Zip Code:63040-1741
Mailing Address - Country:US
Mailing Address - Phone:636-486-6250
Mailing Address - Fax:636-591-1080
Practice Address - Street 1:257 LAMP AND LANTERN VLG
Practice Address - Street 2:
Practice Address - City:TOWN AND COUNTRY
Practice Address - State:MO
Practice Address - Zip Code:63017-8209
Practice Address - Country:US
Practice Address - Phone:636-486-6250
Practice Address - Fax:636-591-1080
Is Sole Proprietor?:Yes
Enumeration Date:2011-07-26
Last Update Date:2015-05-21
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MO2011026063101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional