Organization
ANGELA SIMMONS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANGELA DW SIMMONS LCSW (PROVIDER/OWNER)
(859) 805-0188
Entity
Organization
Contact information
Practice address
130 KINGS DAUGHTERS DR, FRANKFORT, KY 40601-4248
(502) 219-7762
(502) 223-7491
Mailing address
209 CARDINAL AVE, VERSAILLES, KY 40383-1113
(859) 805-0188
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1106
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100628820
—
KY
Enumeration date
11/09/2017
Last updated
11/06/2020
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