KENDRA WOODY-SIMMONS LPC CAC SAP NCC NPI 1588968713

NPI Information

NPI: 1588968713
Provider Name: KENDRA WOODY-SIMMONS, LPC, CAC, SAP, NCC
Classification: Counselor - 101YP2500X
Entity Type: Individual

Specialization: Professional

Address:
6650 RIVERS AVE
SUITE 124
NORTH CHARLESTON, SC
ZIP 29406
Phone: (843) 475-9096
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Kendra Woody-simmons, LPC, CAC, SAP, NCC is a professional counselor in North Charleston, SC. Kendra Woody-simmons, LPC, CAC, SAP, NCC NPI is 1588968713. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

6650 RIVERS AVE
SUITE 124
NORTH CHARLESTON, SC
ZIP 29406-809
Phone: (843) 475-9096
Fax: (866) 496-9934

The enumeration date for this NPI number is 1/3/2011 and was last updated on 1/3/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YA0400X	Counselor	Addiction (Substance Use Disorder)	09052613	SOUTH CAROLINA	No
2	101YP2500X	Counselor	Professional	5234	SOUTH CAROLINA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	09052613	OTHER	SOUTH CAROLINA	CERTIFIED ADDICTION COUNSELOR
2	5234	OTHER	SOUTH CAROLINA	LICENSED PROFESSIONAL COUNSELOR
3	13334	OTHER	SOUTH CAROLINA	SUBSTANCE ABUSE PROFESSIONAL
4	255933	OTHER	SOUTH CAROLINA	NATIONAL CERTIFIED COUNSELOR

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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