Provider Demographics
NPI:1700912789
Name:SIMS, JANET R (LPC, LPC-S)
Entity Type:Individual
Prefix:
First Name:JANET
Middle Name:R
Last Name:SIMS
Suffix:
Gender:F
Credentials:LPC, LPC-S
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:900 S IRBY ST STE 470
Mailing Address - Street 2:
Mailing Address - City:FLORENCE
Mailing Address - State:SC
Mailing Address - Zip Code:29501-5239
Mailing Address - Country:US
Mailing Address - Phone:843-292-9792
Mailing Address - Fax:843-665-4119
Practice Address - Street 1:309 W PALMETTO ST
Practice Address - Street 2:
Practice Address - City:FLORENCE
Practice Address - State:SC
Practice Address - Zip Code:29501-4417
Practice Address - Country:US
Practice Address - Phone:843-292-9792
Practice Address - Fax:843-665-4119
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC1958101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
1891746764OtherGROUP NPI