Provider Demographics
NPI:1891844288
Name:SIMMONS, JAMES WILLIAM III (MA LPC LMFT)
Entity Type:Individual
Prefix:MR
First Name:JAMES
Middle Name:WILLIAM
Last Name:SIMMONS
Suffix:III
Gender:M
Credentials:MA LPC LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 823
Mailing Address - Street 2:
Mailing Address - City:DENTON
Mailing Address - State:TX
Mailing Address - Zip Code:76202-0823
Mailing Address - Country:US
Mailing Address - Phone:940-382-0000
Mailing Address - Fax:940-382-0000
Practice Address - Street 1:106 AND A HALF E OAK ST
Practice Address - Street 2:
Practice Address - City:DENTON
Practice Address - State:TX
Practice Address - Zip Code:76201-4240
Practice Address - Country:US
Practice Address - Phone:940-352-0000
Practice Address - Fax:940-382-0000
Is Sole Proprietor?:No
Enumeration Date:2007-01-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX6471101YP2500X
TX000336042804106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Not Answered106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
076296OtherVALUE OPTIONS HEALTH INS