Individual
ELAINE SIMMONS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BS PSYCHOLOGY
Contact information
Practice address
10605 SYCAMORE GRN, LOUISVILLE, KY 40223-2944
(502) 994-9310
Mailing address
10605 SYCAMORE GRN, LOUISVILLE, KY 40223-2944
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
03/15/2011
Last updated
09/28/2016
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