MELODIE SIMMONS LPC CEDS-S NPI 1679171094

NPI Information

NPI: 1679171094
Provider Name: MELODIE SIMMONS, LPC, CEDS-S
Classification: Counselor - 101YP2500X
Entity Type: Individual

Specialization: Professional

Address:
2309 W LONG SHADOW TRL
PHOENIX, AZ
ZIP 85085
Phone: (623) 236-8631
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Melodie Simmons, LPC, CEDS-S is a professional counselor in Phoenix, AZ. Melodie Simmons, LPC, CEDS-S NPI is 1679171094. 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:

2309 W LONG SHADOW TRL
PHOENIX, AZ
ZIP 85085-084
Phone: (623) 236-8631

The enumeration date for this NPI number is 10/16/2020 and was last updated on 9/13/2021.

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	101YM0800X	Counselor	Mental Health	16331	ARIZONA	No
2	101YP2500X	Counselor	Professional	LPC-16331	ARIZONA	Yes

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: 11/14/2023

NPI Synchronization or Removal

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