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Organization
SIMMONS EARLY INTERVENTION THERAPY, LLC
Active
Organization
SIMMONS EARLY INTERVENTION THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SHONTA TONEIK SIMMONS BS, ITFS (EARLY INTERVENTION THERAPIST)
(919) 344-5890
Entity
Organization
Contact information
Practice address
110 HINES DR, GOLDSBORO, NC 27534-8630
(919) 344-5890
(919) 751-2320
Mailing address
110 HINES DR, GOLDSBORO, NC 27534-8630
(919) 344-5890
(919) 751-2320
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8301201
—
NC
05
—
8301201K
—
NC
Enumeration date
04/13/2007
Last updated
08/22/2020
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