Provider Demographics
NPI:1407691058
Name:SIMMS-SMITH, ALANA FELECIA
Entity type:Individual
Prefix:
First Name:ALANA
Middle Name:FELECIA
Last Name:SIMMS-SMITH
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:ALANNAH
Other - Middle Name:MARIE
Other - Last Name:KELLY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2201 RAMSGATE DR APT 116
Mailing Address - Street 2:
Mailing Address - City:HENDERSON
Mailing Address - State:NV
Mailing Address - Zip Code:89074-6113
Mailing Address - Country:US
Mailing Address - Phone:702-931-2231
Mailing Address - Fax:
Practice Address - Street 1:3930 HOWARD HUGHES PKWY STE 300
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89169-0946
Practice Address - Country:US
Practice Address - Phone:702-789-5901
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-06-26
Last Update Date:2024-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician