Simmons, Debra R.

Simmons, Debra R. is an individual health care provider with primary practice located at 3027 Ayre Ct , Flint MI 48506-5402. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Social Worker. Behavioral Health & Social Service Providers / Social Worker is her primary health care specialty. Simmons, Debra R. can be contacted via phone (810) 252-4609.

Contact Information

Primary practice address
3027 Ayre Ct Flint MI 48506-5402
Phone: (810) 252-4609
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 6801069084 Michigan
Behavioral Health & Social Service Providers / Social Worker 104100000X

Profile Details

NPI number 1336276294
LBN Legal business name Simmons, Debra R.
Credentials MSW
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 27th, 2007
Last updated May 19th, 2021 - about 3 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 1336276294 NPPES
Michigan Other 750910736 BLUE SHIELD OPC

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