| Jeremiah Simmons | |
|
206 W Sybelia Ave Maitland FL 32751-4739 | |
| (321) 332-8540 | |
| Not Available |
| Full Name | Jeremiah Simmons |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 206 W Sybelia Ave, Maitland, Florida |
| Authorized Official Name and Position | David Jeremiah Simmons (OWNER) |
| Authorized Official Contact | 3213328540 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jeremiah Simmons 206 W Sybelia Ave Maitland FL 32751-4739 Ph: (321) 332-8540 | Jeremiah Simmons 206 W Sybelia Ave Maitland FL 32751-4739 Ph: (321) 332-8540 |
| NPI Number | 1891030862 |
|---|---|
| Provider Enumeration Date | 12/03/2012 |
| Last Update Date | 10/04/2021 |
| Certification Date | 10/04/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891030862 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 10958 (Florida) | Primary |
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