Simmons, Malanna
Simmons, Malanna is an sole proprietor health care provider with primary practice located at 6249 Hazel Ave , Philadelphia PA 19143-1022. She recently has 4 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Clinical, Agencies / Community/Behavioral Health, Behavioral Health & Social Service Providers / Social Worker. Behavioral Health & Social Service Providers / Social Worker is her primary health care specialty. Simmons, Malanna can be contacted via phone (612) 413-4087.Contact Information
Primary practice address
6249 Hazel Ave
Philadelphia PA 19143-1022
Phone: (612) 413-4087
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | ||
Behavioral Health & Social Service Providers / Clinical | 1041C0700X | CW024839 | Pennsylvania |
Agencies / Community/Behavioral Health | 251S00000X | ||
Behavioral Health & Social Service Providers / Social Worker | 104100000X | SW139002 | Pennsylvania |
Profile Details
NPI number | 1760051478 |
---|---|
LBN Legal business name | Simmons, Malanna |
Credentials | |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Jun 18th, 2021 |
Last updated | Jun 14th, 2024 - about last year |
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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