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
Fax: (817) 402-2437
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1356991855 NPPES
Texas Other 69257 COUNSELING LICENSE

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