| Terri L Simmons | |
|
4809 Munson St Nw Canton OH 44718-3614 | |
| (330) 705-0730 | |
| Not Available |
| Full Name | Terri L Simmons |
|---|---|
| Speciality | Counselor |
| Location | 4809 Munson St Nw, Canton, Ohio |
| Authorized Official Name and Position | Terri Simmons (OWNER) |
| Authorized Official Contact | 3307050730 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Terri L Simmons 4809 Munson St Nw Canton OH 44718-3614 Ph: (330) 705-0730 | Terri L Simmons 4809 Munson St Nw Canton OH 44718-3614 Ph: (330) 705-0730 |
| NPI Number | 1285487207 |
|---|---|
| Provider Enumeration Date | 04/09/2024 |
| Last Update Date | 02/05/2025 |
| Certification Date | 02/05/2025 |
| Medicare PECOS PAC ID | 6800319518 |
|---|---|
| Medicare Enrollment ID | O20250402002738 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285487207 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
| Provider Name | Terri Simmons |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1477794006 PECOS PAC ID: 9537603121 Enrollment ID: I20240708001800 |
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