| T.a. Sims Therapy & Support Services Llc | |
|
401 Whitney Ave Ste 409 Gretna LA 70056-2558 | |
| (504) 362-9010 | |
| (504) 362-9070 |
| Full Name | T.a. Sims Therapy & Support Services Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 401 Whitney Ave, Gretna, Louisiana |
| Authorized Official Name and Position | Tishlinn S Fountain (OWNER) |
| Authorized Official Contact | 5043129388 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| T.a. Sims Therapy & Support Services Llc 401 Whitney Ave Ste 409 Gretna LA 70056-2558 Ph: (504) 362-9010 | T.a. Sims Therapy & Support Services Llc 401 Whitney Ave Ste 409 Gretna LA 70056-2558 Ph: (504) 362-9010 |
| NPI Number | 1396281077 |
|---|---|
| Provider Enumeration Date | 01/18/2017 |
| Last Update Date | 01/18/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396281077 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 5971 (Louisiana) | Primary |
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