Simmons, Samantha Ann

Simmons, Samantha Ann is an individual health care provider with primary practice located at 80 Rolling Hills Blvd , Monticello KY 42633-9005. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Simmons, Samantha Ann can be contacted via phone (066) 343-0216.

Contact Information

Primary practice address
80 Rolling Hills Blvd Monticello KY 42633-9005
Phone: (066) 343-0216
Fax: (606) 343-0224
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 166494 Kentucky
Behavioral Health & Social Service Providers / Professional 101YP2500X 105683 Kentucky
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 834 Kentucky

Profile Details

NPI number 1629123625
LBN Legal business name Simmons, Samantha Ann
Credentials LPCC, LCADC
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 23rd, 2007
Last updated Oct 18th, 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 1629123625 NPPES
Kentucky MEDICAID 7100277600
Kentucky MEDICAID 30615058

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