Individual
IMMANUEL IMAN SIMMONS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3000 GETWELL RD, MEMPHIS, TN 38118-2205
(901) 422-6000
(901) 542-0167
Mailing address
3000 GETWELL RD, MEMPHIS, TN 38118-2205
(901) 834-3866
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
101YM0800X
Mental Health Counselor
—
—
Other
Enumeration date
09/01/2020
Last updated
03/09/2023
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