Provider Demographics
NPI:1740509249
Name:SIMPSON, ELISABETH BICKLEY (LMHC)
Entity type:Individual
Prefix:MS
First Name:ELISABETH
Middle Name:BICKLEY
Last Name:SIMPSON
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:MS
Other - First Name:LISA
Other - Middle Name:SIMPSON
Other - Last Name:PIRES-FERNANDES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:9380 SUNSET DR
Mailing Address - Street 2:B-120
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33173-3276
Mailing Address - Country:US
Mailing Address - Phone:305-610-9950
Mailing Address - Fax:
Practice Address - Street 1:9380 SUNSET DR
Practice Address - Street 2:B-120
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33173-3276
Practice Address - Country:US
Practice Address - Phone:305-610-9950
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-05-24
Last Update Date:2010-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL10280101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health