Provider Demographics
NPI:1770541252
Name:FITSIMONES, TIM FRANCIS (LMHC, CAP)
Entity type:Individual
Prefix:MR
First Name:TIM
Middle Name:FRANCIS
Last Name:FITSIMONES
Suffix:
Gender:M
Credentials:LMHC, CAP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 82
Mailing Address - Street 2:
Mailing Address - City:WINTER PARK
Mailing Address - State:FL
Mailing Address - Zip Code:32790-0082
Mailing Address - Country:US
Mailing Address - Phone:407-629-7114
Mailing Address - Fax:407-629-7463
Practice Address - Street 1:409 SAINT ANDREWS BLVD
Practice Address - Street 2:
Practice Address - City:WINTER PARK
Practice Address - State:FL
Practice Address - Zip Code:32792-3409
Practice Address - Country:US
Practice Address - Phone:407-629-7114
Practice Address - Fax:407-629-7463
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-05-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH3669101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLMH3669OtherLICENSE