Mr Willard Douglas Sims, MA LMFT is a
Marriage & Family Therapist based in Johnson City, Tennessee. Mr Willard Douglas Sims is licensed to practice in Tennessee (license number LMT641) and his current practice location is
607 Baxter Street, Johnson City, Tennessee. He can be reached at his office (for appointments etc.) via phone at
(423) 232-2651.
NPI number for Mr Willard Douglas Sims is 1902971146 and his current mailing address is Po Box 9054, Gray, Tennessee. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1902971146.
Healthcare Provider's Profile
| Full Name | Mr Willard Douglas Sims |
|---|
| Gender | Male |
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| Speciality | Marriage & Family Therapist |
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| Location | 607 Baxter Street, Johnson City, Tennessee |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1902971146
- Provider Enumeration Date: 11/22/2006
- Last Update Date: 09/11/2025
Medical Identifiers
Medical identifiers for Mr Willard Douglas Sims such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1902971146 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 103T00000X | Psychologist | 116230 (Tennessee) | Secondary |
| 106H00000X | Marriage & Family Therapist | LMT641 (Tennessee) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Willard Douglas Sims is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Mr Willard Douglas Sims, MA LMFT
Po Box 9054,
Gray, TN 37615-9054
Ph: (423) 467-3600 | Mr Willard Douglas Sims, MA LMFT
607 Baxter Street,
Johnson City, TN 37601
Ph: (423) 232-2651 |
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