Latonia Sims | |
1110 Main Street Gardendale AL 35071-4688 | |
(205) 607-2331 | |
(205) 278-8755 |
Full Name | Latonia Sims |
---|---|
Speciality | Social Worker |
Location | 1110 Main Street, Gardendale, Alabama |
Authorized Official Name and Position | Latonia Sims (CLINICAL SOCIAL WORKER/ OWNER) |
Authorized Official Contact | 2052137049 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Latonia Sims Po Box 2021 Gardendale AL 35071-1880 Ph: (120) 521-37049 | Latonia Sims 1110 Main Street Gardendale AL 35071-4688 Ph: (205) 607-2331 |
NPI Number | 1992220503 |
---|---|
Provider Enumeration Date | 08/04/2017 |
Last Update Date | 10/29/2021 |
Certification Date | 10/11/2021 |
Medicare PECOS PAC ID | 5092080085 |
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Medicare Enrollment ID | O20170929003127 |
Identifier | Type | State | Issuer |
---|---|---|---|
1992220503 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 1347-4025C (Alabama) | Primary |
Provider Name | Latonia Sims |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1457891103 PECOS PAC ID: 7719252709 Enrollment ID: I20170929003189 |
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