Individual
MRS. LACONSTANCE M SIMMONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN PMHNP-BC
Contact information
Practice address
12501 HAMILTON AVE, HIGHLAND PARK, MI 48203-3243
(313) 865-1580
Mailing address
5282 BISHOP ST, DETROIT, MI 48224-2145
(313) 241-2043
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
4703116307
MI
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
4704355404
MI
Other
Enumeration date
08/08/2016
Last updated
09/30/2025
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