Simmons, Larry Wayne
Simmons, Larry Wayne is an sole proprietor health care provider with primary practice located at 3204 Nash St N , Wilson NC 27896-1231. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Simmons, Larry Wayne can be contacted via phone (252) 237-1626.Contact Information
Primary practice address
3204 Nash St N
Wilson NC 27896-1231
Phone: (252) 237-1626
Fax: (252) 237-2488
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | C000013 | North Carolina |
Profile Details
| NPI number | 1538204177 |
|---|---|
| LBN Legal business name | Simmons, Larry Wayne |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 21st, 2007 |
| Last updated | Jul 8th, 2007 - about 18 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 | 1538204177 | NPPES |
| North Carolina | MEDICAID | 6002178 |
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