Provider Demographics
NPI:1801323415
Name:SIMMONS-CLIFTON, KAREN ELAINE (MS, LMHC, LPC)
Entity type:Individual
Prefix:MRS
First Name:KAREN
Middle Name:ELAINE
Last Name:SIMMONS-CLIFTON
Suffix:
Gender:F
Credentials:MS, LMHC, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9128 SAINT BARTS RD
Mailing Address - Street 2:
Mailing Address - City:FORT WORTH
Mailing Address - State:TX
Mailing Address - Zip Code:76123-3524
Mailing Address - Country:US
Mailing Address - Phone:352-870-5127
Mailing Address - Fax:
Practice Address - Street 1:9128 SAINT BARTS RD
Practice Address - Street 2:
Practice Address - City:FORT WORTH
Practice Address - State:TX
Practice Address - Zip Code:76123-3524
Practice Address - Country:US
Practice Address - Phone:352-595-5000
Practice Address - Fax:352-595-8431
Is Sole Proprietor?:No
Enumeration Date:2017-05-12
Last Update Date:2022-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLIMH14752101YM0800X
TX87779101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health