Provider Demographics
NPI:1962045591
Name:SIMMONS, ARLETTE (LPC)
Entity Type:Individual
Prefix:
First Name:ARLETTE
Middle Name:
Last Name:SIMMONS
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6651 EVERETS RD
Mailing Address - Street 2:
Mailing Address - City:SUFFOLK
Mailing Address - State:VA
Mailing Address - Zip Code:23434-6980
Mailing Address - Country:US
Mailing Address - Phone:347-733-2519
Mailing Address - Fax:
Practice Address - Street 1:2 EATON ST
Practice Address - Street 2:STE 300
Practice Address - City:HAMPTON
Practice Address - State:VA
Practice Address - Zip Code:23669-4095
Practice Address - Country:US
Practice Address - Phone:347-733-2519
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-10-27
Last Update Date:2020-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0701010166101YP2500X
101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional