Organization
THERESA SIMMONS
Active
Other names
Divine Gaia Transpersonal Wellness
Organization subpart
No
Provider details
NPI number
Authorized official
MISS THERESA LYNN SIMMONS BSW, MTP (OWNER)
(775) 720-4284
Entity
Organization
Contact information
Practice address
11 CASTLE WAY, CARSON CITY, NV 89706-1932
(775) 720-4284
Mailing address
11 CASTLE WAY, CARSON CITY, NV 89706-1932
(775) 720-4284
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
01/09/2012
Last updated
12/05/2012
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