Provider Demographics
NPI:1831589555
Name:SIMMONS, NANCY (LMFT)
Entity type:Individual
Prefix:MRS
First Name:NANCY
Middle Name:
Last Name:SIMMONS
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1930 MARLTON PIKE E STE K56
Mailing Address - Street 2:
Mailing Address - City:CHERRY HILL
Mailing Address - State:NJ
Mailing Address - Zip Code:08003-4107
Mailing Address - Country:US
Mailing Address - Phone:215-815-8075
Mailing Address - Fax:856-434-4325
Practice Address - Street 1:1930 MARLTON PIKE E STE K56
Practice Address - Street 2:
Practice Address - City:CHERRY HILL
Practice Address - State:NJ
Practice Address - Zip Code:08003-4107
Practice Address - Country:US
Practice Address - Phone:215-815-8075
Practice Address - Fax:856-434-4325
Is Sole Proprietor?:Yes
Enumeration Date:2015-02-02
Last Update Date:2020-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ37FI00179200101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health