Provider Demographics
NPI:1831858588
Name:SIMS, ANGELIK SAMONE (CERTIFIED)
Entity type:Individual
Prefix:
First Name:ANGELIK
Middle Name:SAMONE
Last Name:SIMS
Suffix:
Gender:F
Credentials:CERTIFIED
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 11124
Mailing Address - Street 2:
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35202-1124
Mailing Address - Country:US
Mailing Address - Phone:205-521-1144
Mailing Address - Fax:
Practice Address - Street 1:1648 LAKESHORE CT APT A
Practice Address - Street 2:
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35209-0168
Practice Address - Country:US
Practice Address - Phone:205-521-1144
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-12-09
Last Update Date:2021-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP1600XBehavioral Health & Social Service ProvidersCounselorPastoral