Provider Demographics
NPI:1104579549
Name:LORNA T. SIMMONS APEX CLINICAL COUNSELING, LLC
Entity type:Organization
Organization Name:LORNA T. SIMMONS APEX CLINICAL COUNSELING, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER AND THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:LORNA
Authorized Official - Middle Name:THERESE
Authorized Official - Last Name:VANDEN HEUVEL
Authorized Official - Suffix:
Authorized Official - Credentials:LCSWA, LCAS
Authorized Official - Phone:919-355-6236
Mailing Address - Street 1:3140 RETAMA RUN
Mailing Address - Street 2:
Mailing Address - City:NEW HILL
Mailing Address - State:NC
Mailing Address - Zip Code:27562-9345
Mailing Address - Country:US
Mailing Address - Phone:919-355-6236
Mailing Address - Fax:
Practice Address - Street 1:189 WIND CHIME CT STE 202
Practice Address - Street 2:
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27615-6480
Practice Address - Country:US
Practice Address - Phone:919-355-6236
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-01-26
Last Update Date:2022-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Multi-Specialty
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
1770155004OtherNPI