Individual
LOGAN SIMMONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSWA
Contact information
Practice address
223 COMMERCE ST STE D, GREENVILLE, NC 27858-5032
(252) 414-5346
Mailing address
111 S BAYWOOD LN, GREENVILLE, NC 27834-6946
(910) 840-5568
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
P019573
NC
1041C0700X
Clinical Social Worker
P019573
NC
Other
Enumeration date
08/29/2023
Last updated
08/27/2025
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