Provider Demographics
NPI:1841340999
Name:SIMON, MONICA (LMFT)
Entity type:Individual
Prefix:MS
First Name:MONICA
Middle Name:
Last Name:SIMON
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:PO BOX 665
Mailing Address - Street 2:
Mailing Address - City:HARVEY
Mailing Address - State:LA
Mailing Address - Zip Code:70059-0665
Mailing Address - Country:US
Mailing Address - Phone:504-905-8878
Mailing Address - Fax:
Practice Address - Street 1:1050 S JEFFERSON DAVIS PKWY
Practice Address - Street 2:SUITE 239
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70125-1200
Practice Address - Country:US
Practice Address - Phone:504-304-2286
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA2980101YP2500X
LA874106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Not Answered106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist