Simmons, Brian Marc
Simmons, Brian Marc is an sole proprietor health care provider with primary practice located at 2131 Kirkwood Blvd , Southlake TX 76092-1529. He recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as his primary health care specialty. Simmons, Brian Marc can be contacted via phone (214) 226-4206.Contact Information
Primary practice address
2131 Kirkwood Blvd
Southlake TX 76092-1529
Phone: (214) 226-4206
Fax: (817) 402-2437
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | 69257 | Texas |
Profile Details
NPI number | 1356991855 |
---|---|
LBN Legal business name | Simmons, Brian Marc |
Credentials | Licensed Professional Counselor (LPC) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Sep 17th, 2019 |
Last updated | Sep 17th, 2019 - about 5 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1356991855 | NPPES |
Texas | Other | 69257 | COUNSELING LICENSE |
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