Provider Demographics
NPI:1023768777
Name:SIMS, DANIELLE RENAE (ALC)
Entity type:Individual
Prefix:MS
First Name:DANIELLE
Middle Name:RENAE
Last Name:SIMS
Suffix:
Gender:F
Credentials:ALC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1109 SPRING DR
Mailing Address - Street 2:
Mailing Address - City:OPELIKA
Mailing Address - State:AL
Mailing Address - Zip Code:36801-5345
Mailing Address - Country:US
Mailing Address - Phone:334-749-2996
Mailing Address - Fax:334-203-1621
Practice Address - Street 1:1109 SPRING DR
Practice Address - Street 2:
Practice Address - City:OPELIKA
Practice Address - State:AL
Practice Address - Zip Code:36801-5345
Practice Address - Country:US
Practice Address - Phone:334-749-2996
Practice Address - Fax:334-203-1621
Is Sole Proprietor?:No
Enumeration Date:2022-03-25
Last Update Date:2022-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ALC3155A101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor