Individual
MR. TIYON LAVON SIMMONS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCMHCA
Contact information
Practice address
607 WASHINGTON ST, WILLIAMSTON, NC 27892-2645
(252) 792-8035
Mailing address
1217A PEYTON CIR, GREENVILLE, NC 27834-8231
(252) 382-9901
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
17444
NC
225XM0800X
Mental Health Occupational Therapist
Primary
A17444
NC
Other
Enumeration date
05/19/2022
Last updated
09/05/2025
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