Provider Demographics
NPI:1891746764
Name:JANET R SIMS PA
Entity Type:Organization
Organization Name:JANET R SIMS PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:JANET
Authorized Official - Middle Name:R
Authorized Official - Last Name:SIMS
Authorized Official - Suffix:
Authorized Official - Credentials:LPC LPCS
Authorized Official - Phone:843-292-9792
Mailing Address - Street 1:900 S IRBY ST
Mailing Address - Street 2:STE 470
Mailing Address - City:FLORENCE
Mailing Address - State:SC
Mailing Address - Zip Code:29501
Mailing Address - Country:US
Mailing Address - Phone:843-292-9792
Mailing Address - Fax:843-665-4119
Practice Address - Street 1:309 W PALMETTO ST
Practice Address - Street 2:
Practice Address - City:FLORENCE
Practice Address - State:SC
Practice Address - Zip Code:29501-4417
Practice Address - Country:US
Practice Address - Phone:843-292-9792
Practice Address - Fax:843-665-4119
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-15
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC195B101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty