# ANGELA SIMMONS LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1669985800
- **Authorized official:** ANGELA DW SIMMONS LCSW (PROVIDER/OWNER)
- **Authorized official phone:** (859) 805-0188

## Contact information

- **Practice address:** 130 KINGS DAUGHTERS DR, FRANKFORT, KY 40601-4248
- **Practice address phone:** (502) 219-7762
- **Practice address fax:** (502) 223-7491
- **Mailing address:** 209 CARDINAL AVE, VERSAILLES, KY 40383-1113
- **Mailing address phone:** (859) 805-0188

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1041C0700X | Clinical Social Worker | 1106 | KY | Yes |

## Other

- **Enumeration date:** 11/09/2017
- **Last updated:** 11/06/2020
