Provider Demographics
NPI:1750696183
Name:SIMPKINS, TREMAYNE W
Entity type:Individual
Prefix:
First Name:TREMAYNE
Middle Name:W
Last Name:SIMPKINS
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:225 N BURNETT RD
Mailing Address - Street 2:
Mailing Address - City:COCOA
Mailing Address - State:FL
Mailing Address - Zip Code:32926-4242
Mailing Address - Country:US
Mailing Address - Phone:321-504-2050
Mailing Address - Fax:
Practice Address - Street 1:2180 SNOW HILL RD
Practice Address - Street 2:
Practice Address - City:CHULUOTA
Practice Address - State:FL
Practice Address - Zip Code:32766-9696
Practice Address - Country:US
Practice Address - Phone:407-977-0336
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-08-10
Last Update Date:2014-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health