SURNEDRA C SIMMONS


Address: 4941 Sunset Ridge Dr, Fort Worth, TX 76123-4615
Phone: 8173435393

SURNEDRA C SIMMONS (NPI# 1588297121) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1588297121
Entity Type Individual
Full Name SURNEDRA C SIMMONS
Credential LPC
Practice Address 4941 Sunset Ridge Dr
Fort Worth
TX 76123-4615
Practice Telephone 8173435393
Mailing Telephone 8173435393
Enumeration Date 2020-02-21
Last Update Date 2020-02-21
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YP2500X Counselor
Specialization: Professional
76941 TX Behavioral Health & Social Service Providers

Office Location

Street Address 4941 SUNSET RIDGE DR
City FORT WORTH
State TX
Zip Code 76123-4615

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Taxonomy Information

Taxonomy Code 101YP2500X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Professional

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1003428780 Cynthia Frazier Counselor 2612 Dahlia Dr, Fort Worth, TX 76123-1252 2020-08-23
1326650755 Next Steps Professional Counseling Services, LLC Counselor 101 S Jennings Ave Unit 104, Fort Worth, TX 76104-1112 2020-08-18
1477163103 Adriana E Speiker Counselor 3509 Hulen St Ste 251, Fort Worth, TX 76107-6867 2020-08-07
1285252031 Kiersta Lane Garcia Counselor 1810 8th Ave Ste B204, Fort Worth, TX 76110-1352 2020-07-08
1588290571 Heather Penry Counselor 1024 Marlow Ln, Fort Worth, TX 76131-5375 2020-03-21
1992339105 Azmeh Amer Counselor 172 Saint Donovan St, Fort Worth, TX 76107-1252 2020-02-26
1821629957 Turquoise Banks Counselor 5821 Wedgwood Dr, Fort Worth, TX 76133-2726 2020-01-28
1003447236 Nicole Leona Sallee Counselor 201 Main St Fl 6, Fort Worth, TX 76102-3105 2020-01-27
1780214106 Jeremy Adam Lelek Counselor 2501 Parkview Dr Ste 220, Fort Worth, TX 76102-5824 2020-01-24
1588294516 Michelle Lee Harris Counselor 2509 Warren Ln, Fort Worth, TX 76112-5721 2020-01-17
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Competitor

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City FORT WORTH
Zip Code 76123

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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