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Organization
SUSAN V SIMS, LLC
Active
Organization
SUSAN V SIMS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SUSAN V SIMS LMHC (OWNER)
(813) 874-0608
Entity
Organization
Contact information
Practice address
3601 W AZEELE ST, TAMPA, FL 33609-2805
(813) 874-0608
(813) 350-9544
Mailing address
3601 W AZEELE ST, TAMPA, FL 33609-2805
(813) 874-0608
(813) 350-9544
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MH4365
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000048900
—
FL
01
—
1407907017
INDIVIDUAL NPI
FL
Enumeration date
06/07/2012
Last updated
06/07/2012
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