Individual
MYRA J SIMMONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MBA, CHWC, NCC, PLPC
Contact information
Practice address
210 E MAIN ST STE 2C, TUPELO, MS 38804-4017
(662) 760-0052
Mailing address
210 E MAIN ST STE 2C, TUPELO, MS 38804-4017
(662) 760-0052
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
P-1313
MS
Other
Enumeration date
03/12/2025
Last updated
03/18/2025
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