# SIMONE BEHAVIORAL HEALTH

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

## Provider details

- **NPI number:** 1700484755
- **Authorized official:** ALEXANDER SULLIVAN (CREDENTIALING SPECIALIST)
- **Authorized official phone:** (269) 547-9730

## Contact information

- **Practice address:** 209 WEST ST STE 2015, ANNAPOLIS, MD 21401-3441
- **Practice address phone:** (410) 300-7502
- **Mailing address:** 209 WEST ST STE 2015, ANNAPOLIS, MD 21401-3441
- **Mailing address phone:** (410) 300-7502

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | — | NULL | Yes |
| 101YM0800X | Mental Health Counselor | — | — | Yes |

## Other

- **Enumeration date:** 10/13/2020
- **Last updated:** 10/13/2020