Provider Demographics
NPI:1245637545
Name:SIMMS, AARON (CAC-AD)
Entity type:Individual
Prefix:MR
First Name:AARON
Middle Name:
Last Name:SIMMS
Suffix:
Gender:M
Credentials:CAC-AD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1801 N ROSEDALE ST APT 12
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21216-3440
Mailing Address - Country:US
Mailing Address - Phone:443-850-7666
Mailing Address - Fax:
Practice Address - Street 1:1801 N ROSEDALE ST APT 12
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21216-3440
Practice Address - Country:US
Practice Address - Phone:443-850-7666
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-12-02
Last Update Date:2015-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDAC2035101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)